James Wayne Nelson, DDS
Individual provider Active NPI General Practice Dentistry · Rio, WI
NPI 1508970666 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508970666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5001423-015 (WI)
- Practice address
- 315 Union St.
Rio, WI 53960-0218 - Phone
- (920) 992-3500
- Fax
- (920) 992-5115
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5001423-015 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James W Nelson DDS, S.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5001423-015 | WI | Yes |
Addresses
Primary practice location
315 Union St.
Rio, WI 53960-0218
Mailing address
315 Union St.
P.O. Box 218
Rio, WI 53960-0218
Phone (920) 992-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33659700 | Medicaid | WI |
Other providers in Rio, WI
- James W Nelson DDS, S.C.
- Elizabeth Jenkins
- Sylvia Lechnir
- Kristen C Mabie
- MD Group II LLC
- Zachary J Plachinski
- Rio Community Fire Association
- Rio Community School District
- Alexia M Short
All providers in Rio, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.