Active NPI
Scott Nelson DPM PA
- Podiatrist
- Garland, TX
National Provider Identifier
1992828263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott James Nelson, DPM
- Title
- Owner
- Phone
- (972) 955-7483
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099PM | Other | TX | BCBS |
| 185937301 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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": "193200000X MULTI-SPECIALTY 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.