Caron Louise Nelson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6329 Issued in WA

Practice address

26425 NE Allen St
Suite 102
Duvall, WA 98019-8612

Phone

(425) 788-1551

NPI assigned

Aug 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Dick and Keira Yang, DMD PLLC

  dba Great Smile Dental

  • Dental Clinic/Center
  • Duvall, WA
  • NPI 1831858786
  NPD (past)
• Great Smile Dental

  • Dental Clinic/Center
  • Duvall, WA
  • NPI 1013472687
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871502872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 232ND AVE NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777222",
            "telephone_number": "425-788-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26425 NE ALLEN ST",
            "address_2": "SUITE 102",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198612",
            "telephone_number": "425-788-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CARON",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "6329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mongrain, Quirt, Gibree, P.C. (Duvall Family Dental)
• Victoria N Morgan, M.A. LMHCA
• Keely Murphy, LMP
• Muscle Rehab Massage
• Mwines Physical Therapy PLLC
• Cristina Rodica Nitulescu, RN
• Michael J Noblin, M.A., LMHCA
• Wendy Jo Nygaard, ATC, CSCS
• Jessica Erin Stewart O'Neill, PT, DPT, OCS
• Kelly Oberbillig

• General Practice Dentistry in Duvall, WA
• Providers in Duvall, WA by specialty
• General Practice Dentistry in Washington

• 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.