Rick Nelson Endodontic PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

06911 Issued in IA

Legal business name

RICK NELSON ENDODONTIC PC

Practice address

974 73Rd St
Suite 18
Windsor Heights, IA 50312-1024

Phone

(515) 223-0602

Fax

(515) 223-7346

NPI assigned

May 19, 2008

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ricky Dean Nelson, DDS,MSNPI 1922095983

Title

President

Phone

(515) 223-0602

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ricky Dean Nelson, D.D.S., M.S.

  • Endodontics
  • Windsor Heights, IA
  • NPI 1922095983
  NPD (past) Authorized official

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1972760916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 73RD STREET",
            "address_2": "SUITE 18",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503121026",
            "telephone_number": "515-223-0602",
            "fax_number": "515-223-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "974 73RD ST",
            "address_2": "SUITE 18",
            "city": "WINDSOR HEIGHTS",
            "state": "IA",
            "postal_code": "503121024",
            "telephone_number": "515-223-0602",
            "fax_number": "515-223-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK NELSON ENDODONTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-223-0602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS,MS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IA",
            "license": "06911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI#",
            "identifier": "1922095983",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Peterson, HHC, LMT
• Hannah Todd Pierre, LMSW
• Sally Marie Pinnick, MD
• Rapid-DME, LLC
• Stacy A Reinhart, AUD
• Robert J Verdoorn PC (Sherwood Forest Chiropractic)
• John Joseph Rockas, D.C.
• Melanie Royer, MSPT
• Sally M Pinnick MD PC
• Lori Marie Salsbury

• Preferred Provider Organization in Windsor Heights, IA
• Providers in Windsor Heights, IA by specialty
• Preferred Provider Organization in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.