Active NPI
James Sheldon Nielsen, D.D.S.
- Dentist
- Van Alstyne, TX
National Provider Identifier
1609017102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25080
- 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
- Last updated
- Jul 24, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 25080 | TX | Primary |
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
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 |
|---|---|---|---|
| 25080 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Alstyne Dental PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Van Alstyne, TX
- NPI 1457646705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1609017102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1286 WEST VAN ALSTYNE PARKWAY",
"city": "VAN ALSTYNE",
"state": "TX",
"postal_code": "754958055",
"telephone_number": "903-712-4440",
"fax_number": "903-712-4441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 WEST VAN ALSTYNE PARKWAY",
"city": "VAN ALSTYNE",
"state": "TX",
"postal_code": "754958055",
"telephone_number": "903-712-4440",
"fax_number": "903-712-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "JAMES",
"middle_name": "SHELDON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-12",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Alstyne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.