Garrett Steven Nelson, MD, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

19965 Issued in TX

Practice address

2833 Eldorado Pkwy
Suite 307
Frisco, TX 75034-7440

Phone

(214) 618-8181

Fax

(214) 618-8198

NPI assigned

Mar 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1528028040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2833 ELDORADO PKWY",
            "address_2": "SUITE 307",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347440",
            "telephone_number": "214-618-8181",
            "fax_number": "214-618-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 ELDORADO PKWY",
            "address_2": "SUITE 307",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347440",
            "telephone_number": "214-618-8181",
            "fax_number": "214-618-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GARRETT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD,  DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "19965",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "M0195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neighborhood Dental
• Sireesha Nekkanti
• Craig Scott Neleson, MD
• Ashlyn Brooke Nelson, LPC
• Brian S Nelson, MD
• Glazia Nelson
• Stacey D Nelson
• Neo Texas LLC
• Network Provider Associates, P.C.
• Neuro Safety, PLLC

• Oral and Maxillofacial Surgery (Dentist) in Frisco, TX
• Providers in Frisco, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.