Nelson Family Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4796 Issued in AZ

Legal business name

NELSON FAMILY DENTISTRY, PC

Practice address

4491 W Northern Ave
Glendale, AZ 85301-1649

Phone

(623) 931-5321

Fax

(623) 939-5108

NPI assigned

Nov 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darrin J Nelson, D.M.D.NPI 1902829633

Title

Owner

Phone

(623) 931-5321

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Darrin John Nelson, D.M.D.

  • Dentist
  • Peoria, AZ
  • NPI 1902829633

  General Practice

  NPD (past) Authorized official
• Shahin Javidi, DMD

  • Dentist
  • Glendale, AZ
  • NPI 1639805476
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1447439732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4491 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011649",
            "telephone_number": "623-931-5321",
            "fax_number": "623-939-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4491 W NORTHERN AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011649",
            "telephone_number": "623-931-5321",
            "fax_number": "623-939-5108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-931-5321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Outreach Access to Health
• Neighborhood Outreach Access to Health
• Rhonda Nell, O.D.
• Ralph Nellas, PHARMD
• Rodolfo C Nellas, MD
• Anthony Dominic Nelson, PA-C
• Jacque Catalano Nelson, MOTR.L
• Julie Anne Nelson, RDN
• Kimberly Nelson, PA-C
• Peter S Nelson, D.D.S.

• General Practice Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.