NPIMap

Organization Active NPI

Michael F Nelson DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Las Vegas, NV
National Provider Identifier
1609020684
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
S383C Issued in NV
Legal business name
MICHAEL F NELSON DDS PC
Practice address
6169 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-3231
Phone
(702) 433-0070
Fax
(702) 876-3762
NPI assigned
Nov 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Michael Frederic Nelson, DDSNPI 1558385617
Title
Owner
Phone
(702) 433-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X S647 NV
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X S383C NV Primary

Addresses

Primary practice location

6169 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-3231

Mailing address

6169 S Rainbow Blvd Ste 105
Las Vegas, NV 89118-3231
Phone (702) 433-0070

Other identifiers 1

IdentifierTypeStateIssuer
1558385617OtherNVINDIVIDUAL NPI NUMBER

Other names 1

  • Nelson Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Little Smiles Pediatric Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6169 S Rainbow Blvd
Ste 105
Las Vegas, NV 89118
Phone (702) 433-0070

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1609020684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6169 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183231",
            "telephone_number": "702-433-0070",
            "fax_number": "702-876-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 S RAINBOW BLVD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183231",
            "telephone_number": "702-433-0070",
            "fax_number": "702-876-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F NELSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-433-0070",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S647",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S383C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1558385617",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.