Organization Active NPI

Nelson Dental LTD

  • Dental Clinic/Center
  • Monroe, LA
National Provider Identifier
1669943627
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NELSON DENTAL LTD
Practice address
1413 S 2ND St
Monroe, LA 71202-2739
Phone
(318) 512-0942
NPI assigned
Dec 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Dr. Anthony Nelson, DDS
Title
Dentist
Phone
(318) 512-0942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1413 S 2ND St
Monroe, LA 71202-2739

Mailing address

1413 S 2ND St
Monroe, LA 71202-2739
Phone (318) 512-0942

Other names 1

  • NELSON DENTAL Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1669943627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022739",
            "telephone_number": "318-512-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022739",
            "telephone_number": "318-512-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON DENTAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-512-0942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NELSON DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.