Organization Active NPI

Nelson R. Diers, DDS, Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, OH
National Provider Identifier
1508946609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
30013069 Issued in OH
Legal business name
NELSON R. DIERS, DDS, INC
Practice address
1251 Nilles Rd
Suite #14
Fairfield, OH 45014-7206
Phone
(513) 829-4400
Fax
(513) 829-7467
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nelson R. Diers, DDSNPI 1528148616
Title
President
Phone
(513) 829-4400

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 30013069 OH Primary

Addresses

Primary practice location

1251 Nilles Rd
Suite #14
Fairfield, OH 45014-7206

Mailing address

1251 Nilles Rd
Suite #14
Fairfield, OH 45014-7206
Phone (513) 829-4400

National Provider Directory

National Provider Directory

Locations

1251 Nilles Rd
Ste 14
Fairfield, OH 45014
Phone (513) 829-4400

Practitioners & affiliated clinicians

Practitioners 1

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508946609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 NILLES RD",
            "address_2": "SUITE #14",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147206",
            "telephone_number": "513-829-4400",
            "fax_number": "513-829-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NILLES RD",
            "address_2": "SUITE #14",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147206",
            "telephone_number": "513-829-4400",
            "fax_number": "513-829-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON R. DIERS, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIERS",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-829-4400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30013069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • 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.