Active NPI
April N Nelson-Ehlers, SURGICAL ASSISTANT
- Dental Assistant
- Modesto, CA
National Provider Identifier
1508917675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- Practice address
- 1316 Coffee Rd Ste E14
Dr Roland Young
Modesto, CA 95355 - Phone
- (209) 522-9963
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Assistant | 126800000X | Primary |
Addresses
Primary practice location
1316 Coffee Rd Ste E14
Dr Roland Young
Modesto, CA 95355
Mailing address
1802 San Gabriel Dr
Hughson, CA 95326
Phone (209) 883-0434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508917675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 SAN GABRIEL DR",
"city": "HUGHSON",
"state": "CA",
"postal_code": "95326",
"telephone_number": "209-883-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 COFFEE RD STE E14",
"address_2": "DR ROLAND YOUNG",
"city": "MODESTO",
"state": "CA",
"postal_code": "95355",
"telephone_number": "209-522-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON-EHLERS",
"first_name": "APRIL",
"middle_name": "N",
"credential": "SURGICAL ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.