Craig C Nelson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D22385 Issued in CA

Practice address

3042 Clayton Rd
Concord, CA 94519-2731

Phone

(925) 682-6940

NPI assigned

Sep 29, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Alice Huang DDS Inc

  • Dental Clinic/Center
  • Concord, CA
  • NPI 1114760295
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982796322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192731",
            "telephone_number": "925-682-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192731",
            "telephone_number": "925-682-6940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CRAIG",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D22385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Lemar Neeley
• Brandon Edward Joseph Neely
• Nebill Negash
• Ana Negri
• Abigail Neibert
• Danica Rae Nelson
• Erin Nichole Nelson
• Jazmine Nelson
• Joshuaa Reason Nelson
• Lorien Nelson, LCSW

• General Practice Dentistry in Concord, CA
• Providers in Concord, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.