NPIMap

Individual provider Active NPI

Darrin John Nelson, D.M.D.

  • Dentist
  • Peoria, AZ
National Provider Identifier
1902829633
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4796 Issued in AZ
Practice address
6791 W Happy Valley Rd Ste 101
Peoria, AZ 85383-4865
Phone
(623) 471-9030
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4796 AZ Primary

Addresses

Primary practice location

6791 W Happy Valley Rd Ste 101
Peoria, AZ 85383-4865

Mailing address

6791 W Happy Valley Rd Ste 101
Peoria, AZ 85383-4865
Phone (623) 471-9030

Other names 1

  • Mr. Darrin John Nelson Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Dnelson@mydental.com
Direct Messaging Address Dnelson@mydental.con Health Information Exchange (HIE)

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Dental Professionals, P.C. General Practice CurrentSince Mar 9, 2020 Accepting new patients
Nelson Family Dentistry, PC General Practice Past Accepting new patients
Arizona Dental Professionals, P.C. General Practice Past Accepting new patients

Locations

6791 W Happy Valley Rd
Ste 101
Peoria, AZ 85383
Phone (623) 471-9030

Interoperability endpoints

  • Direct secure messaging: dnelson@mydental.com
  • Direct secure messaging: dnelson@mydental.con

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1902829633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6791 W HAPPY VALLEY RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834865",
            "telephone_number": "623-471-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6791 W HAPPY VALLEY RD STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834865",
            "telephone_number": "623-471-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DARRIN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dnelson@mydental.com",
            "affiliation": "N",
            "address_1": "10524 W Swayback Pass",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853835758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dnelson@mydental.con",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Info",
            "address_1": "6791 W Happy Valley Rd # Are101",
            "city": "Peoria",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853833391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DARRIN",
            "last_name": "NELSON",
            "middle_name": "JOHN",
            "prefix": "MR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.