James Sheldon Nielsen, D.D.S.
Individual provider Active NPI Dentist · Van Alstyne, TX
NPI 1609017102 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1609017102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 25080 (TX)
- Practice address
- 1286 West Van Alstyne Parkway
Van Alstyne, TX 75495-8055 - Phone
- (903) 712-4440
- Fax
- (903) 712-4441
- NPI assigned
- Mar 12, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25080 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Alstyne Dental PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25080 | TX | Yes |
Addresses
Primary practice location
1286 West Van Alstyne Parkway
Van Alstyne, TX 75495-8055
Mailing address
1286 West Van Alstyne Parkway
Van Alstyne, TX 75495-8055
Phone (903) 712-4440
Other providers in Van Alstyne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.