Michael S. Nelson

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL S. NELSON

Practice address

605 Eureka Ave
Suite C
Berryville, AR 72616-3839

Phone

(870) 423-4042

Fax

(870) 423-7173

NPI assigned

May 31, 2007

Organization subpart

No

Name

Patricia L. Webb

Title

Business Manager

Phone

(479) 521-4440

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497957740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 EUREKA AVE",
            "address_2": "SUITE C",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163839",
            "telephone_number": "870-423-4042",
            "fax_number": "870-423-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 EUREKA AVE",
            "address_2": "SUITE C",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726163839",
            "telephone_number": "870-423-4042",
            "fax_number": "870-423-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S. NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "479-521-4440"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1932119054",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Home Health Berryville
• Mercy Home Health Berryville
• Mercy Hospital Berryville
• Mercy Hospital Berryville
• Mercy Hospital Springfield
• Craig Milam, M.D.
• Amy Mills, LMSW
• Rachel Elizabeth Montgomery, COTA
• Jessica Keely Moschner, CNP
• John R. Nash, MD

• All providers in Berryville, AR
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.