Jed Cody Nielson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29379 Issued in TX

Practice address

10123 Lake Creek Pkwy
Building 2
Austin, TX 78729-1756

Phone

(512) 250-8101

Fax

(512) 258-7154

NPI assigned

Jul 14, 2008

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• J Cody Nielson Other name

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J. Kip Nielson DDS PLLC

  dba Starlight Dental and Orthodontics

  • Dentist
  • Austin, TX
  • NPI 1558742593
  NPD (past) Authorized official

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1598929143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 LAKE CREEK PKWY BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291756",
            "telephone_number": "512-250-8101",
            "fax_number": "512-258-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10123 LAKE CREEK PKWY",
            "address_2": "BUILDING 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787291756",
            "telephone_number": "512-250-8101",
            "fax_number": "512-258-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "JED",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "29379",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7543",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "NIELSON",
            "middle_name": "CODY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Niedert, M.S., CCC-SLP
• Joy Nielsen, M.D.
• Kristian Thomas Nielsen, CRNA
• Mariann Nielsen, WHNP-C
• Sarah Nielsen, NBC-HWC
• Jeremy Kip Nielson, D.D.S.
• Yen Dang Nieman, M.D.
• Nienke Splint Gul, Pmhnp, PLLC
• Juan Nieto, MD
• Kirsten Gibbs Nieto, M.D.

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.