Lionel Matthew Nelson Sr., D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

7158 Issued in NC

Practice address

3325 Durham Chapel Hill Blvd
Suite 303
Durham, NC 27707-6235

Phone

(919) 489-0497

Fax

(919) 493-2264

NPI assigned

Jan 1, 2007

Last updated

Mar 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Asheboro Family Dentistry

  • General Practice Dentistry
  • Asheboro, NC
  • NPI 1831488493
  Authorized official Same address or phone

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1467519520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 DURHAM CHAPEL HILL BLVD",
            "address_2": "SUITE 303",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076235",
            "telephone_number": "919-489-0497",
            "fax_number": "919-493-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 DURHAM CHAPEL HILL BLVD",
            "address_2": "SUITE 303",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076235",
            "telephone_number": "919-489-0497",
            "fax_number": "919-493-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LIONEL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990145",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Nelson
• James M Nelson, DDS
• Jasmine Michelle Nelson, LCSW-A
• Jennifer Lauren Nelson, FNP-C
• Kyleigh Nelson
• Mikaela Nelson, CO
• Mollie Nelson
• Rendon Clive Nelson, M.D.
• Nenawellness LLC
• Neogenomics Laboratories Inc

• Dentist in Durham, NC
• Providers in Durham, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.