Individual provider Active NPI

Jay Andrew Nelson, DMD

  • General Practice Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1780705657
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10809 Issued in FL
Practice address
26907 Foggy Creek Rd Ste 101
Wesley Chapel, FL 33544-6778
Phone
(813) 733-4169
Fax
(888) 977-1984
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10809 FL Primary

Addresses

Primary practice location

26907 Foggy Creek Rd Ste 101
Wesley Chapel, FL 33544-6778

Mailing address

26907 Foggy Creek Rd Ste 101
Wesley Chapel, FL 33544-6778
Phone (813) 733-4169

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
DN10809FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jay Andrew Nelson, D.M.D., P.a. Current Accepting new patients

Locations

1928 Highland Oaks Blvd
Lutz, FL 33559
Phone (813) 949-0424

26907 Foggy Creek Rd
Ste 101
Wesley Chapel, FL 33544
Phone (813) 733-4169

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1780705657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26907 FOGGY CREEK RD STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446778",
            "telephone_number": "813-733-4169",
            "fax_number": "888-977-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26907 FOGGY CREEK RD STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446778",
            "telephone_number": "813-733-4169",
            "fax_number": "888-977-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.