Organization Active NPI

Michael E Nelson DDS, Inc

  • Preferred Provider Organization
  • Duncan, OK
National Provider Identifier
1497929400
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
4125 Issued in OK
Legal business name
MICHAEL E NELSON DDS, INC
Practice address
2025 W Elk Ave Ste a
Duncan, OK 73533-1601
Phone
(580) 252-4293
Fax
(580) 202-2090
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Michael Earl Nelson, D.D.SNPI 1487787115
Title
President
Phone
(580) 252-4293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 4125 OK Primary

Addresses

Primary practice location

2025 W Elk Ave Ste a
Duncan, OK 73533-1601

Mailing address

2025 W Elk Ave Ste a
Duncan, OK 73533-1601
Phone (580) 252-4293

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1497929400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 W ELK AVE STE A",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331601",
            "telephone_number": "580-252-4293",
            "fax_number": "580-202-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W ELK AVE STE A",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331601",
            "telephone_number": "580-252-4293",
            "fax_number": "580-202-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E NELSON DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-252-4293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OK",
            "license": "4125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.