Individual provider Active NPI

Dorothy Sue Nelson, DDS

  • Dentist
  • Escondido, CA
National Provider Identifier
1740479633
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
42075 Issued in CA
Practice address
230 E Fifth Ave
Escondido, CA 92025-4906
Phone
(760) 738-9595
Fax
(760) 738-9596
NPI assigned
Oct 17, 2007
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 42075 CA Primary

Addresses

Primary practice location

230 E Fifth Ave
Escondido, CA 92025-4906

Mailing address

230 E Fifth Ave
Escondido, CA 92025-4906
Phone (760) 738-9595

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

LicenseStateTypeSpecialty
42075CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Irene Bodjanac Bozir, D.D.S., Inc. Past Accepting new patients
Lotfali Yari DDS Inc. Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1740479633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E FIFTH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254906",
            "telephone_number": "760-738-9595",
            "fax_number": "760-738-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E FIFTH AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254906",
            "telephone_number": "760-738-9595",
            "fax_number": "760-738-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DOROTHY",
        "middle_name": "SUE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "42075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.