Tanner Nelson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-DEN-LIC-28367 Issued in MT

Practice address

910 1St Ave N
Great Falls, MT 59401-2606

Phone

(406) 454-1512

NPI assigned

Jun 11, 2024

Sex

Male

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

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1902648702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012606",
            "telephone_number": "406-454-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012606",
            "telephone_number": "406-454-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TANNER",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC-28367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin R. Neil, D.M.D.
• Derik Neilson, D.O.
• Barbara Ann Nelson, LCPC
• Devin M Nelson, PA-C
• James Edward Nelson, DDS
• Ty Nelson
• Julie Neuman, PHARM.D.
• Kathleen Rose Neuman, LCSW
• New Leaf Center
• Mark George Newbrough, MD FACS

• General Practice Dentistry in Great Falls, MT
• Providers in Great Falls, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.