NPIMap

Organization Active NPI

Nelson Dental LLC

  • Dental Clinic/Center
  • Monroe, LA
National Provider Identifier
1831697978
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3444 Issued in LA
Legal business name
NELSON DENTAL LLC
Practice address
1413 S 2ND St
Monroe, LA 71202-2739
Phone
(318) 323-3162
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Dr. Anthony Ray Nelson, DDSNPI 1932359304
Title
Dentist
Phone
(318) 512-0942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3444 LA Primary

Addresses

Primary practice location

1413 S 2ND St
Monroe, LA 71202-2739

Mailing address

1413 S 2ND St
Monroe, LA 71202-2739
Phone (318) 323-3162

National Provider Directory

National Provider Directory

Locations

1413 S 2nd St
Monroe, LA 71202
Phone (318) 323-3162

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1831697978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022739",
            "telephone_number": "318-323-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S 2ND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712022739",
            "telephone_number": "318-323-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-512-0942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "LA",
            "license": "3444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.