Mark Nielsen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6379 Issued in NE

Practice address

1908 Binfield St Ste 4
Elkhorn, NE 68022-2889

Phone

(402) 289-2036

Fax

(402) 289-5694

NPI assigned

Sep 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932290822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 BINFIELD ST STE 4",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222889",
            "telephone_number": "402-289-2036",
            "fax_number": "402-289-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 BINFIELD ST STE 4",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222889",
            "telephone_number": "402-289-2036",
            "fax_number": "402-289-5694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "6379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464586",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Kristine Nelson
• Neonatal Care, PC
• Jayrah Ngoi
• Joslane Frnacis Ngor
• Hang Nguyen
• Nancy A Nielsen, M.S. CCC-SLP
• Taylor Jo Nielsen
• Dianne Nieves
• Emily Louise Nordin, MOT
• Michele L North, APRN-CNM

• General Practice Dentistry in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.