Individual provider Active NPI

Thomas P Neslund, DMD

  • Dentist
  • Carlisle, PA
National Provider Identifier
1881846772
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS-027395-L Issued in PA
Practice address
13 Brookwood Ave
Suite 3
Carlisle, PA 17015-9575
Phone
(717) 258-5455
Fax
(717) 258-5456
NPI assigned
Oct 22, 2008
Last updated
Oct 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS-027395-L PA Primary

Addresses

Primary practice location

13 Brookwood Ave
Suite 3
Carlisle, PA 17015-9575

Mailing address

13 Brookwood Ave
Suite 3
Carlisle, PA 17015-9575
Phone (717) 258-5455

Other identifiers 1

IdentifierTypeStateIssuer
000784427OtherPAUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-027395-LPAMDDentist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1881846772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 BROOKWOOD AVE",
            "address_2": "SUITE 3",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159575",
            "telephone_number": "717-258-5455",
            "fax_number": "717-258-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 BROOKWOOD AVE",
            "address_2": "SUITE 3",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159575",
            "telephone_number": "717-258-5455",
            "fax_number": "717-258-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESLUND",
        "first_name": "THOMAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-027395-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000784427",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

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