Joseph A Nelson II, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21446 Issued in MA

Practice address

3531 Washington St Ste 102
Jamaica Plain, MA 02130-5241

Phone

(617) 524-7860

Fax

(617) 524-7861

NPI assigned

Oct 12, 2005

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pure Dental PC

  • Dentist
  • Jamaica Plain, MA
  • NPI 1225326416
  NPD Authorized official
• 37 Main Street

  • Dentist
  • Ashland, MA
  • NPI 1245499904
  NPD (past)
• Ashland Family & Implant Dentistry

  • General Practice Dentistry
  • Ashland, MA
  • NPI 1891384814
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1437147501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 WASHINGTON ST STE 102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305241",
            "telephone_number": "617-524-7860",
            "fax_number": "617-524-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 WASHINGTON ST STE 102",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021305241",
            "telephone_number": "617-524-7860",
            "fax_number": "617-524-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051326",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "21446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Steven Nakrin, M.D.
• Soraya Naqvi, MD
• Jay Anthony Nathanson, M.D., M.P.H.
• Jimmo Scotto Neal
• France-Adine Neff Walker, M.ED.
• Marjory Neret
• Andreas Neumann-Mascis, PHD
• Juliana Miriam Neuspiel
• New England Evaluation Services
• Juliana Newell

• General Practice Dentistry in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.