Steven J Nedrelow, DDS MSD PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7450 Issued in MN

Practice address

525 SW 3Rd St
Willmar, MN 56201-3385

Phone

(320) 235-3102

Fax

(320) 235-7840

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Physician Assistant

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821156779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 SW 3RD STREET",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013385",
            "telephone_number": "320-235-3102",
            "fax_number": "320-235-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SW 3RD ST",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013385",
            "telephone_number": "320-235-3102",
            "fax_number": "320-235-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDRELOW",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "DDS MSD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "7450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Murphy, PA-C
• Edmund Edward Nadolny, PH.D.
• Michael A Nagel, O.D.
• Marvin Rudolph Napgezek, M.D.
• Mallory Theresa Nath, LICSW
• Trent John Neisen, DDS
• Nelson Clinic and Rehabilitation Care PA
• Ann Marie Nelson, CRNA
• Barbara Jean Nelson, LMFT
• Daniel S. Nelson, MA/LPCC

• Orthodontics and Dentofacial Orthopedics Dentistry in Willmar, MN
• Providers in Willmar, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.