NPIMap

Organization Active NPI

Nelson Dental a Professional Corporation

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1992714729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
47762 Issued in CA
Legal business name
NELSON DENTAL A PROFESSIONAL CORPORATION
Practice address
7400 Greenhaven Dr
Suite 100
Sacramento, CA 95831-5129
Phone
(916) 427-1101
Fax
(916) 427-8671
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Khari Nelson, D.D.S.NPI 1679579692
Title
President
Phone
(916) 427-1101

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 47762 CA Primary

Addresses

Primary practice location

7400 Greenhaven Dr
Suite 100
Sacramento, CA 95831-5129

Mailing address

7400 Greenhaven Dr
Suite 100
Sacramento, CA 95831-5129
Phone (916) 427-1101

National Provider Directory

National Provider Directory

Locations

7400 Greenhaven Dr
Ste 100
Sacramento, CA 95831
Phone (916) 427-1101

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": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992714729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 GREENHAVEN DR",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315129",
            "telephone_number": "916-427-1101",
            "fax_number": "916-427-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 GREENHAVEN DR",
            "address_2": "SUITE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958315129",
            "telephone_number": "916-427-1101",
            "fax_number": "916-427-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON DENTAL A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KHARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-427-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.