Nelson Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5238 Issued in OK

Legal business name

NELSON FAMILY DENTISTRY

Practice address

1109 Highway 70 N
Kingston, OK 73439-8232

Phone

(580) 564-9994

NPI assigned

Apr 23, 2008

Organization subpart

Yes

Parent organization

JEFFREY R. NELSONAs reported in NPPES

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

Authorized official

Name

Dr. Jeffrey R Nelson, D.D.S.NPI 1124149455

Title

Owner/Dentist

Phone

(580) 564-9994

Specialties & licenses 1

Addresses

Part of

Nelson Family Dentistry

Locations

Practitioners 1

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

• Jeffrey Ray Nelson, D.D.S.

  • General Practice Dentistry
  • Kingston, OK
  • NPI 1124149455
  NPD (past) Authorized official

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1649445453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 HIGHWAY 70 N",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398232",
            "telephone_number": "580-564-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 HIGHWAY 70 N",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398232",
            "telephone_number": "580-564-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON FAMILY DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFREY R. NELSON",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "580-564-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce M McDowell, LPC
• Toni McLemore, APRN-CNP
• Carrie Moore, MS
• Samantha Darlene Moore
• Shannan Myers
• Jeffrey Ray Nelson, D.D.S.
• Abby Lee Olmstead, M.S.
• Nikki Danielle Patterson, M.S. CCC-SLP
• Kirstyn Plymale, LPC
• Rehab Medical LLC

• General Practice Dentistry in Kingston, OK
• Providers in Kingston, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.