Chauncy F. Nelson DDS, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5591 Issued in NC

Legal business name

CHAUNCY F. NELSON DDS, PA

Practice address

2135 Valleygate Dr Ste 201
Fayetteville, NC 28304-3751

Phone

(910) 860-1991

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chauncy Fitch Nelson, DDSNPI 1912059627

Title

Orthodontist

Phone

(910) 860-1991

Specialties & licenses 1

Addresses

Tax ID family

Chauncy F Nelson DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chauncy F. Nelson DDS, PA II

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raeford, NC
  • NPI 1346916749
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chauncy Fitch Nelson, D.D.S, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fayetteville, NC
  • NPI 1912059627
  NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1447374129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 VALLEYGATE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043751",
            "telephone_number": "910-860-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 VALLEYGATE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043751",
            "telephone_number": "910-860-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUNCY F. NELSON DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "CHAUNCY",
        "authorized_official_middle_name": "FITCH",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "910-860-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "5591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Chau, MCD
• Amina Chaudhry
• Debi P Chaudhuri, M.D.
• Surajit Chaudhuri, MD
• Josphine Chaumba
• Teresa Anne Chavez
• Ashley Angelica Chavis
• Brandi D Chavis, O.D.
• Kevin Lee Chavis Jr., FNP-C
• Lakayla Chavis

• Orthodontics and Dentofacial Orthopedics Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.