Kirby Martin Nelson, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DE00007702 Issued in WA

Practice address

26250 238TH LN SE Ste 102
Maple Valley, WA 98038-4000

Phone

(425) 413-2121

Fax

(425) 358-7290

NPI assigned

Jan 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kirby M Nelson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kirby Nelson Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maple Valley, WA
  • NPI 1861586083
  NPD Authorized official

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1508570623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26250 238TH LN SE STE 102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980384000",
            "telephone_number": "425-413-2121",
            "fax_number": "425-358-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 238TH LN SE STE 102",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980384000",
            "telephone_number": "425-413-2121",
            "fax_number": "425-358-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIRBY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00007702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRBY",
            "last_name": "NELSON",
            "middle_name": "M",
            "credential": "KIRBY M. NELSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Richard Nakamura
• Surbhi Nandan
• Muhammad Majid Nazir, PHARMD
• Eunice Ndungu
• Robert Keil Neal, O.D.
• Makenzie Nelson
• Kelly Joy Nering
• Neurobridge Therapy LLC
• Maria R. Newsom
• Nguyen Dehkordi PLLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.