Reid Arthur Nelson, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6090 Issued in KY

Practice address

2015 Herr LN
Louisville, KY 40222-6567

Phone

(502) 425-9285

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Adaptiv Intravenous Associates LLC

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1487995577
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1790878650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 HERR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 HERR LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226567",
            "telephone_number": "502-425-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "REID",
        "middle_name": "ARTHUR",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "KY",
            "license": "6090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Nelson
• Nicholls Nelson, MD
• Paige C. Nelson, APRN
• Pamela Nelson
• Rayna L. Nelson, LCSW
• Shanice Nelson
• Shaun Nelson, PA
• Stacey Nelson
• Steffanie Nicole Nelson
• Wyatt Andrew Nelson

• Periodontics in Louisville, KY
• Providers in Louisville, KY by specialty
• Periodontics in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.