Active NPI
Howard L Nelson, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 12507
- Practice address
- 1144 Opal Court
Hagerstown, MD 21740 - Phone
- (301) 733-2500
- Fax
- (301) 733-9600
- NPI assigned
- Nov 8, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 3550 | WV | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 12507 | MD | Primary |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DEN5975 | DC | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS035393 | PA |
Addresses
Primary practice location
1144 Opal Court
Hagerstown, MD 21740
Mailing address
1007 Sushruta Drive
Martinsburg, WV 25401
Phone (304) 263-0991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4002163000 | Medicaid | WV | |
| DF52 | Other | MD | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Howard University College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1007 Sushruta Dr
Martinsburg, WV 25401-8800
Phone 3042630991205
1144 Opal CT
Hagerstown, MD 21740-5940
Phone (301) 733-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN5975 | DC | MD | Oral and Maxillofacial Surgery (Dentist) |
| 12507 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
| DS035393 | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Oral & Maxillofacial Surgeons, PC | Oral and Maxillofacial Surgery | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
6550 Mercantile Dr E
Ste 101
Frederick, MD 21703
Phone (301) 694-0870
198 Thomas Johnson Dr
Ste 101
Frederick, MD 21702
Phone (301) 694-0870
1144 Opal Ct
Hagerstown, MD 21740
Phone (301) 733-2500
1007 Sushruta Dr
Martinsburg, WV 25401
Phone (304) 263-0991
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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Martinsburg, WV
- NPI 1346310505
MD
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351814400000",
"number": "1811067952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 SUSHRUTA DRIVE",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25401",
"telephone_number": "304-263-0991",
"fax_number": "304-274-9546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 OPAL COURT",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21740",
"telephone_number": "301-733-2500",
"fax_number": "301-733-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "HOWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2012-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WV",
"license": "3550",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "12507",
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "DC",
"license": "DEN5975",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "PA",
"license": "DS035393",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4002163000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "DF52",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.