David L N Ielson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AA659 Issued in AK

Practice address

6222 W Dimond Blvd
Anchorage, AK 99502-4006

Phone

(907) 244-4125

NPI assigned

Jul 21, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1528088358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6222 W DIMOND BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024006",
            "telephone_number": "907-441-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6222 W DIMOND BLVD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024006",
            "telephone_number": "907-244-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "N IELSON",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "AA659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD6590",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Myhre
• Andrew Myler, PHYSICIAN ASSISTANT
• Delvin Myles
• Garrett Collins Myren, B.S.
• Casandra Rosenberg Mysior, MD
• Naath Assistednliving Home
• Erin Naber, PHARMD
• Julieannlou Nabong
• Rowena Flores Nabong
• Nellie F Nadeau, MD

• General Practice Dentistry in Anchorage, AK
• Providers in Anchorage, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.