Active NPI
Lauren Michelle Nelson, DDS
- Pediatric Dentistry
- Gainesville, TX
National Provider Identifier
1962776617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 28119
- Practice address
- 321 N Grand Ave
Gainesville, TX 76240-4321 - Phone
- (940) 665-0700
- NPI assigned
- Feb 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 28119 | TX | Primary |
Addresses
Primary practice location
321 N Grand Ave
Gainesville, TX 76240-4321
Mailing address
4514 Rockaway Dr
Dallas, TX 75214-2549
Phone (817) 789-9712
Other practice location 1
8355 Walnut Hill Ln Ste 125
Dallas, TX 75231-4237
Phone (214) 378-8868
Other practice location 2
501 S Stemmons Fwy
Lewisville, TX 75067-4562
Phone (972) 436-9121
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28119 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lara Kirstin Holly DMD PA | Past | Accepting new patients | |
| North Texas Children's Dentistry, PLLC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Dallas, TX
- NPI 1154887883
-
dba North Texas Children's Dentistry
- Pediatric Dentistry
- Gainesville, TX
- NPI 1043470180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1962776617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4514 ROCKAWAY DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752142549",
"telephone_number": "817-789-9712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N GRAND AVE",
"city": "GAINESVILLE",
"state": "TX",
"postal_code": "762404321",
"telephone_number": "940-665-0700"
}
],
"practiceLocations": [
{
"address_1": "8355 Walnut Hill Ln Ste 125",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752314237",
"country_code": "US",
"telephone_number": "214-378-8868",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 S Stemmons Fwy",
"address_purpose": "LOCATION",
"city": "Lewisville",
"state": "TX",
"postal_code": "750674562",
"country_code": "US",
"telephone_number": "972-436-9121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NELSON",
"first_name": "LAUREN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-27",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "28119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, TX
- Michelle Abbe Hacker, PLLC
- Minyard Food Stores Inc. (Sack 'n Save #224)
- Brenda Mitchell
- John Morgan
- Christopher Morton, CPTA
- Valerie Dawn Nelson
- Elizabeth S Newman, DO
- Newname Healthcare Consulting LLC
- North Texas Children's Dentistry, PLLC (North Texas Children's Dentistry)
- North Texas Dialysis Clinic, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.