NPIMap

Organization Active NPI

James B Nelson, PC

  • Dentist
  • McMinnville, OR
National Provider Identifier
1962948943
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6188 Issued in OR
Legal business name
JAMES B NELSON, PC
Practice address
821 NE Highway 99W
McMinnville, OR 97128-2738
Phone
(503) 472-1159
Fax
(503) 434-1679
NPI assigned
Jan 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Dr. James B Nelson, DDSNPI 1417065251
Title
Doctor
Phone
(503) 472-1159

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D6188 OR Primary

Addresses

Primary practice location

821 NE Highway 99W
McMinnville, OR 97128-2738

Mailing address

821 NE Highway 99W
McMinnville, OR 97128-2738
Phone (503) 472-1159

Other names 1

  • Advanced Smile Design Doing business as

National Provider Directory

National Provider Directory

Locations

821 NE Highway 99W
McMinnville, OR 97128
Phone (503) 472-1159

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1962948943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 NE HIGHWAY 99W",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282738",
            "telephone_number": "503-472-1159",
            "fax_number": "503-434-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 NE HIGHWAY 99W",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282738",
            "telephone_number": "503-472-1159",
            "fax_number": "503-434-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B NELSON, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-472-1159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OR",
            "license": "D6188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McMinnville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.