Active NPI
David Paul Nelson, DC
- Chiropractor
- Bemidji, MN
National Provider Identifier
1598836728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0001111
- Practice address
- 3620 Bemidji Ave N
Bemidji, MN 56601-4333 - Phone
- (218) 751-4936
- Fax
- (218) 751-4939
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0001111 | MN | Primary |
Addresses
Primary practice location
3620 Bemidji Ave N
Bemidji, MN 56601-4333
Mailing address
3620 Bemidji Ave N
Bemidji, MN 56601-4333
Phone (218) 751-4936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83326NE | Other | MN | BCBS OF MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001111 | MN | MD | Chiropractor |
| 1111 | MN | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598836728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 BEMIDJI AVE N",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566014333",
"telephone_number": "218-751-4936",
"fax_number": "218-751-4939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 BEMIDJI AVE N",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566014333",
"telephone_number": "218-751-4936",
"fax_number": "218-751-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DAVID",
"middle_name": "PAUL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "0001111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MN",
"identifier": "83326NE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.