NPIMap

Organization Active NPI

Michael J Nelson D.D.S., PA

  • Dentist
  • St Louis Park, MN
National Provider Identifier
1396914685
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D12133 Issued in MN
Legal business name
MICHAEL J NELSON D.D.S., PA
Practice address
8001 Highway 7
#300
St Louis Park, MN 55426-3942
Phone
(952) 920-4060
Fax
(952) 285-2960
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael J Nelson, DDS
Title
President
Phone
(952) 920-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D12133 MN Primary

Addresses

Primary practice location

8001 Highway 7
#300
St Louis Park, MN 55426-3942

Mailing address

8001 Highway 7
#300
St Louis Park, MN 55426-3942
Phone (952) 920-4060

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1396914685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 HIGHWAY 7",
            "address_2": "#300",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263942",
            "telephone_number": "952-920-4060",
            "fax_number": "952-285-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 HIGHWAY 7",
            "address_2": "#300",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554263942",
            "telephone_number": "952-920-4060",
            "fax_number": "952-285-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J NELSON D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-920-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.