Lori D. Nelson DDS, PA

Primary specialty

DentistTaxonomy code 122300000X

License

10353 Issued in FL

Legal business name

LORI D. NELSON DDS, PA

Practice address

730 Emerson Dr. NW
Palm Bay, FL 32907

Phone

(321) 984-7878

Fax

(321) 953-0279

NPI assigned

Aug 14, 2009

Organization subpart

No

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

Authorized official

Name

Michele Elizabeth Miller

Title

Administrative Assistant

Phone

(321) 984-7878

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1801028592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 EMERSON DR. NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-984-7878",
            "fax_number": "321-953-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 EMERSON DR. NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "32907",
            "telephone_number": "321-984-7878",
            "fax_number": "321-953-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI D. NELSON DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-14",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "321-984-7878"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "10353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST FLORIDA LICENSE NUMBER",
            "identifier": "10353",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret M Lopez-Grenville
• Yasmyn Lopez-Tompkins
• Ashley Lopez
• Kiara Lopez, FNP-BC
• Paul Dominic Lopreato, P.A.
• Frances J Lorig
• Julianne Marie Love, MS, CF-SLP
• Robert Michael Love, MD
• Ingrid A Lovelace-Joseph, ARNP
• Alison Loveland

• Dentist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.