Active NPI
Paul Daniel Nelson, DPM
- Podiatrist
- Downers Grove, IL
National Provider Identifier
1821161019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Practice address
- 3800 Highland Avenue
Suite 102
Downers Grove, IL 60515-1559 - Phone
- (630) 810-9966
- Fax
- (630) 810-9596
- NPI assigned
- Nov 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | IL | Primary |
Addresses
Primary practice location
3800 Highland Avenue
Suite 102
Downers Grove, IL 60515-1559
Mailing address
14612 Pebble Creek CT
Homer Glen, IL 60491
Phone (708) 267-7888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Downers Grove Surgery and Treatment Center P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Downers Grove, IL
- NPI 1497832877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821161019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14612 PEBBLE CREEK CT",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "60491",
"telephone_number": "708-267-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 HIGHLAND AVENUE",
"address_2": "SUITE 102",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151559",
"telephone_number": "630-810-9966",
"fax_number": "630-810-9596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "PAUL",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- 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.