NPIMap

Organization Active NPI

Scott Nelson DPM PA

  • Podiatrist
  • Garland, TX
National Provider Identifier
1992828263
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SCOTT NELSON DPM PA
Practice address
3930 Naaman School Road
Suite C
Garland, TX 75040
Phone
(972) 414-9800
Fax
(972) 414-9802
NPI assigned
Apr 9, 2007
Last updated
Nov 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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

Authorized official

Name
Dr. Scott James Nelson, DPMNPI 1861573743
Title
Owner
Phone
(972) 955-7483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TX Primary

Addresses

Primary practice location

3930 Naaman School Road
Suite C
Garland, TX 75040

Mailing address

3930 Naaman School Road
Suite C
Garland, TX 75040
Phone (972) 414-9800

Other identifiers 2

IdentifierTypeStateIssuer
0099PMOtherTXBCBS
185937301MedicaidTX

National Provider Directory

National Provider Directory

Locations

3930 Naaman School Rd
Ste C
Garland, TX 75040
Phone (972) 414-9800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1992828263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 NAAMAN SCHOOL ROAD",
            "address_2": "SUITE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "972-414-9800",
            "fax_number": "972-414-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 NAAMAN SCHOOL ROAD",
            "address_2": "SUITE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75040",
            "telephone_number": "972-414-9800",
            "fax_number": "972-414-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT NELSON DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-955-7483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0099PM",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185937301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.