Paul E. Nelson D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PAUL E. NELSON D.D.S.

Practice address

2377 Margaret St N
North Saint Paul, MN 55109-3019

Phone

(651) 777-3009

Fax

(651) 777-0307

NPI assigned

Jun 30, 2008

Last updated

Jun 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul E. Nelson, D.D.S.NPI 1871583856

Title

Owner/Dentist

Phone

(651) 777-3009

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul E. Nelson, D.D.S.

  • Dentist
  • North Saint Paul, MN
  • NPI 1871583856
  NPD (past) Authorized official

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1871755991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2377 MARGARET ST N",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551093019",
            "telephone_number": "651-777-3009",
            "fax_number": "651-777-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 MARGARET ST N",
            "city": "NORTH SAINT PAUL",
            "state": "MN",
            "postal_code": "551093019",
            "telephone_number": "651-777-3009",
            "fax_number": "651-777-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. NELSON D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "651-777-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "693517600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Beth Ogard
• Rebecca Olin
• Thomas Oriente
• Stephanie B Otremba
• Passion Care Homes Inc. (Passion Care Homes)
• Pediatric & Family Psychology Center PA (CH Moore PhD dba Pediatric & Family Psychology Center PA)
• Nadine Joanne Peterson, LP
• Mallory E Pettengill, BA IN HEALTH
• Phia T Xiong & Jeff D Spencer Foundation
• Kaitlin Pisarczyk

• General Practice Dentistry in North Saint Paul, MN
• Providers in North Saint Paul, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.