Elizabeth Kimber Nelson, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08770 Issued in IA

Practice address

1111 Jordan Creek Pkwy
West Des Moines, IA 50266-5816

Phone

(515) 222-1800

Fax

(515) 222-1805

NPI assigned

Jun 6, 2007

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iowa Pediatric Dental Surgery, P.L.L.C.

  • Pediatric Dentistry
  • West Des Moines, IA
  • NPI 1497510838
  NPD
• Jordan Creek Pediatric Dentistry

  • Pediatric Dentistry
  • West Des Moines, IA
  • NPI 1952092892
  NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1841493038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 JORDAN CREEK PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665816",
            "telephone_number": "515-343-7585",
            "fax_number": "515-222-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 JORDAN CREEK PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502665816",
            "telephone_number": "515-222-1800",
            "fax_number": "515-222-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ELIZABETH",
        "middle_name": "KIMBER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901019312",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019312",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Dee Neal
• Barbara Lynn Nebel, M.A, CCC-SLP
• Amiee Negrete
• Carroll A Nelson, PHARM D
• Christopher D Nelson, DO
• Ermonie Nelson
• Leah Joann Nelson
• Melissa Kay Nelson, PHARMD, RPH
• Michael James Nelson
• Haley Nemmers, PA

• Pediatric Dentistry in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.