Individual provider Active NPI

Catherine Elizabeth Nelson, D.D.S.

  • Dentist
  • Kalamazoo, MI
National Provider Identifier
1588097331
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901021066 Issued in MI
Practice address
5917 Stadium Dr
Kalamazoo, MI 49009-3017
Phone
(269) 372-1042
Fax
(269) 372-9962
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021066 MI Primary

Addresses

Primary practice location

5917 Stadium Dr
Kalamazoo, MI 49009-3017

Mailing address

5917 Stadium Dr
Apt 3B
Kalamazoo, MI 49009-3017
Phone (231) 878-2778

Other names 1

  • Dr. Catherine Elizabeth Adamson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20160120000419 MI Order and Referring Only - DentistPractitioner - Dentist 1355644618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1588097331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 STADIUM DR",
            "address_2": "APT 3B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093017",
            "telephone_number": "231-878-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490093017",
            "telephone_number": "269-372-1042",
            "fax_number": "269-372-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CATHERINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "ADAMSON",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.