Active NPI
Laura Thompson Nelson, DMD
- Public Health Dentistry
- Gresham, OR
National Provider Identifier
1700983871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- D6433
- Practice address
- 600 NE 8TH St
Gresham, OR 97030-7317 - Phone
- (503) 988-4900
- Fax
- (503) 988-5803
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | D6433 | OR | Primary |
Addresses
Primary practice location
600 NE 8TH St
Gresham, OR 97030-7317
Mailing address
11036 SW Black Diamond Way
Tigard, OR 97223-4290
Phone (503) 988-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6433 | OR | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700983871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11036 SW BLACK DIAMOND WAY",
"city": "TIGARD",
"state": "OR",
"postal_code": "972234290",
"telephone_number": "503-988-4900",
"fax_number": "503-988-5803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NE 8TH ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307317",
"telephone_number": "503-988-4900",
"fax_number": "503-988-5803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LAURA",
"middle_name": "THOMPSON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "OR",
"license": "D6433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.