Active NPI
Dennis Nelson
- General Practice Dentistry
- Newaygo, MI
National Provider Identifier
1447238001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11845
- Practice address
- 9132 Mason Drive
Newaygo, MI 49337 - Phone
- (231) 652-2900
- Fax
- (231) 652-2974
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11845 | MI | Primary |
Addresses
Primary practice location
9132 Mason Drive
Newaygo, MI 49337
Mailing address
9132 Mason Drive
Newaygo, MI 49337
Phone (231) 652-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150609001873 | MI | Order and Referring Only - Dentist | 4284955758 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11845 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson & Nelson, DDS PLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1447238001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9132 MASON DRIVE",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "49337",
"telephone_number": "231-652-2900",
"fax_number": "231-652-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9132 MASON DRIVE",
"city": "NEWAYGO",
"state": "MI",
"postal_code": "49337",
"telephone_number": "231-652-2900",
"fax_number": "231-652-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "11845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newaygo, MI
- Daniel Ryan Miller, PA-C
- Nathan G Morse, PTA
- Suzann Marie Mullennix, LMT
- Evangelina Navarro, M.A., LPC
- Nelson & Nelson, DDS PLC (Newaygo Family Dental Care)
- Ross Robert Nelson, D.D.S.
- New Horizons Health Services PLLC
- Newaygo Chiropractic Center P.C.
- Newaygo County General Hospital Association
- Newaygo County General Hospital Association (Corewell Health Gerber Hospital Family Medicine - Newaygo)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.