Active NPI
Daniel G Nelson, M.D.
- Orthopaedic Surgery Physician
- Midland, TX
National Provider Identifier
1700899309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G3641
- Practice address
- 5615 Deauville Blvd
Ste 220
Midland, TX 79706 - Phone
- (432) 686-0321
- Fax
- (432) 686-0664
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G3641 | TX | Primary |
Addresses
Primary practice location
5615 Deauville Blvd
Ste 220
Midland, TX 79706
Mailing address
PO Box 5556
Midland, TX 79704-5556
Phone (432) 686-0321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103565104 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midland Texas Orthopedic Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Past | Accepting new patients | |
| Premier Family Care I, Inc | Orthopaedic Surgery | Past | Accepting new patients |
Locations
5615 Deauville
Ste 220
Midland, TX 79706
Phone (432) 221-4004
4304 Andrews Hwy
Midland, TX 79703
Phone (432) 520-3020
10 Desta Dr
Ste 100E
Midland, TX 79705
Phone (432) 686-0321
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Midland, TX
- NPI 1346681061
-
- General Practice Physician
- Midland, TX
- NPI 1275522864
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472774400000",
"number": "1700899309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5556",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797045556",
"telephone_number": "432-686-0321",
"fax_number": "432-686-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 DEAUVILLE BLVD",
"address_2": "STE 220",
"city": "MIDLAND",
"state": "TX",
"postal_code": "79706",
"telephone_number": "432-686-0321",
"fax_number": "432-686-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "DANIEL",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2016-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "G3641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103565104",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.