NPIMap

Organization Active NPI

Wesley Nelson, DDS PA

  • Dentist
  • Coral Springs, FL
National Provider Identifier
1649707696
Registry record updated Jun 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN21633 Issued in FL
Legal business name
WESLEY NELSON, DDS PA
Practice address
5770 Wiles Rd
Coral Springs, FL 33067
Phone
(954) 255-5166
NPI assigned
May 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2018

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

Authorized official

Name
Dr. Wesley Nelson, DDSNPI 1508248055
Title
Dentist
Phone
(201) 674-3878

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN21633 FL Primary

Addresses

Primary practice location

5770 Wiles Rd
Coral Springs, FL 33067

Mailing address

5770 Wiles Rd
Coral Springs, FL 33067-2156

National Provider Directory

National Provider Directory

Locations

5770 Wiles Rd
Coral Springs, FL 33067
Phone (954) 255-5166

Practitioners & affiliated clinicians

Practitioners 3

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": "1495238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530057600000",
    "number": "1649707696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330672156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 WILES RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-255-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY NELSON, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-20",
        "last_updated": "2018-06-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-674-3878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.