Active NPI
Jay Andrew Nelson, DMD
- General Practice Dentistry
- Wesley Chapel, FL
National Provider Identifier
1780705657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN10809
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN10809 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Customized Equipment (DME)
- Wesley Chapel, FL
- NPI 1164721510
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.