Richard D. Nelson, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6143 Issued in IA

Legal business name

RICHARD D. NELSON, DDS PC

Practice address

2430 Tech Dr Ste a
Bettendorf, IA 52722-3258

Phone

(563) 332-0415

Fax

(563) 332-2979

NPI assigned

Aug 18, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard D Nelson, DDSNPI 1417961517

Title

Owner

Phone

(563) 332-0415

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Dean Nelson, D.D.S.

  • General Practice Dentistry
  • Bettendorf, IA
  • NPI 1417961517
  NPD (past) Authorized official

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1528290947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 TECH DR STE A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223258",
            "telephone_number": "563-332-0415",
            "fax_number": "563-332-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 TECH DR STE A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223258",
            "telephone_number": "563-332-0415",
            "fax_number": "563-332-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D. NELSON, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-332-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth R Repp, MD
• Daniel J Repp, MD
• Rheumatology Associates, PC
• Eduardo L Ricaurte, MD
• William L Rice, T-LMHC
• Jay J Richard, PT
• Jennifer Richard, LMSW
• Miranda Riegel, DO
• Michael James Ringblum, O.D.
• Jenna M Ringsdorf, RPH

• General Practice Dentistry in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.