Nelson Nunez DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NELSON NUNEZ DMD LLC

Practice address

2494 Airline Dr Ste 100
Bossier City, LA 71111-5841

Phone

(318) 317-7808

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Nelson Nunez

Title

Owner

Phone

(318) 317-7808

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Yordanska Fernandez Cabada, DMD

  • General Practice Dentistry
  • Trinity, FL
  • NPI 1093488330
  NPD
• Joseph Alexander Havig, DMD

  • Dentist
  • Bossier City, LA
  • NPI 1891355202
  NPD (past)
• Bradley Phares, DDS, MS

  • Endodontics
  • Kalamazoo, MI
  • NPI 1568918837

  General Practice

  NPD (past)

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1598381469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2494 AIRLINE DR STE 100",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115841",
            "telephone_number": "318-317-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON NUNEZ DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-317-7808"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raghu P Nathan, MD
• National Infusion Therapy, LLC
• Jennifer Nawas, LPC
• Wally R Nawas, MD
• Nealan D Prather MD and Willis-Knighton Medical Center
• Ashlea Nelson, MCD, CCC-SLP
• Davonte Nelson
• Jason D Nelson, M.D.
• Kenya Nelson
• Thomas Nelson

• General Practice Dentistry in Bossier City, LA
• Providers in Bossier City, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.