Dylan Jordan Nesty, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12013779A Issued in IN

Practice address

8011 Robin Hill Rd
Newburgh, IN 47630-3083

Phone

(812) 853-2977

NPI assigned

Jun 7, 2022

Last updated

Jul 15, 2024By the provider in NPPES

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1841929734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8011 ROBIN HILL RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8011 ROBIN HILL RD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476303083",
            "telephone_number": "812-853-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESTY",
        "first_name": "DYLAN",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12013779A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristabelle Nelson, RBT
• Melitta Renee Nelson
• Samantha Lee Nelson, RBT
• Tristyn Nelson
• Stephen Ness
• Kennedy Nettler
• Jennifer J Nevers, MSW, LCSW
• New You Counseling LLC
• Newburgh Anesthesia Associates, LLC
• Newburgh Assisted Living, LLC (Heritage Woods of Newburgh)

• Pediatric Dentistry in Newburgh, IN
• Providers in Newburgh, IN by specialty
• Pediatric Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.