Kristin a Nelson DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12088 Issued in MN

Legal business name

KRISTIN A NELSON DDS PA

Practice address

15031 Crestone Ave W
Rosemount, MN 55068-4586

Phone

(651) 322-7373

Fax

(651) 322-7320

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Kristin A Nelson, D.D.S.

Title

Dentist/Owner

Phone

(651) 322-7373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1811314172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15031 CRESTONE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684586",
            "telephone_number": "651-322-7373",
            "fax_number": "651-322-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15031 CRESTONE AVE W",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684586",
            "telephone_number": "651-322-7373",
            "fax_number": "651-322-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN A NELSON DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "651-322-7373",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Konz
• Jennifer W Koplos, PSYD
• Rachel Koppinger
• Jenelle Elizabeth Kraus, PHARMD
• Kristin a Nelson DDS PA (Summit Dental Care)
• Kelly Marie Kruckeberg, M.S., CCC-SLP
• Kulan Home Health Care Inc
• Jill Diane Kuzma, CCC-SLP
• Mary Langworthy
• Brittny Larson, OTR/L

• General Practice Dentistry in Rosemount, MN
• Providers in Rosemount, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.