NPIMap

Organization Active NPI

David a Nelson OD PA LLC

  • Optometrist
  • Topeka, KS
National Provider Identifier
1609918390
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1357-3 Issued in KS
Legal business name
DAVID A NELSON OD PA LLC
Practice address
4123 SW Gage Center Dr
Suite 126
Topeka, KS 66604-1886
Phone
(785) 273-6717
Fax
(785) 228-2029
NPI assigned
Feb 12, 2007
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
David A Nelson, ODNPI 1699774927
Title
Owner
Phone
(785) 273-6717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1357-3 KS Primary

Addresses

Primary practice location

4123 SW Gage Center Dr
Suite 126
Topeka, KS 66604-1886

Mailing address

4123 SW Gage Center Dr
Suite 126
Topeka, KS 66604-1886
Phone (785) 273-6717

Other identifiers 1

IdentifierTypeStateIssuer
100219290BMedicaidKS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1609918390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 SW GAGE CENTER DR",
            "address_2": "SUITE 126",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041886",
            "telephone_number": "785-273-6717",
            "fax_number": "785-228-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 SW GAGE CENTER DR",
            "address_2": "SUITE 126",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041886",
            "telephone_number": "785-273-6717",
            "fax_number": "785-228-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A NELSON OD PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-273-6717",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1357-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219290B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.