DR. NELS ROBERT NELSON (NPI# 1093893323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093893323 |
| Entity Type | Individual |
| Full Name | DR. NELS ROBERT NELSON |
| Credential | DMD |
| Practice Address |
2801 Sw Nye Ave Pendleton OR 97801 |
| Practice Telephone | 5412767051 |
| Practice Fax Number | 5412761020 |
| Mailing Telephone | 5412767051 |
| Mailing Fax Number | 5412761020 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D4258 | OR | Dental Providers |
| Street Address |
2801 SW NYE AVE |
| City | PENDLETON |
| State | OR |
| Zip Code | 97801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487980439 | Pendleton Family Dental LLC | Dentist | 2801 Sw Nye Ave, Pendleton, OR 97801-3833 | 2009-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720637119 | Yvonne Walker | Technician | 821 Se 9th St, Pendleton, OR 97801 | 2019-09-09 |
| 1083262703 | Praxis Medical Group Inc | Family Medicine | 2450 Sw Perkins Avenue, Pendleton, OR 97801 | 2019-08-27 |
| 1255826012 | Cosmas Chukwuemeka Nwerem Jr. | Pharmacist | 1900 Sw Court Place, Pendleton, OR 97801 | 2018-06-25 |
| 1689166811 | Helene Danielle Kuhn | Counselor | 4700 Nw Pioneer Pl, Pendleton, OR 97801 | 2018-06-04 |
| 1801302849 | Shawna L. All | Massage Therapist | 24 Se Emigrant Ave., Pendleton, OR 97801 | 2017-12-27 |
| 1033649256 | Sean Collins | Pharmacist | 203 Sw 20th St, Pendleton, OR 97801 | 2017-06-20 |
| 1073974796 | Channon M Baker | Peer Specialist | 7525 Westgate Bldg #2, Pendleton Creek Crisis Stabilization Unit, Pendleton, OR 97801 | 2016-03-08 |
| 1689034357 | Carre Biegel | Counselor | 17 Sw Frazer St, Ste 282, Pendleton, OR 97801 | 2016-02-24 |
| 1073995429 | Jessica Suzanne Pedersen | Massage Therapist | 812 Nw 12th St, Pendleton, OR 97801 | 2015-06-22 |
| 1861736373 | Christina Northern Northerhn | Social Worker | 331 Se 2nd Street, Pendleton, OR 97801 | 2012-11-21 |
| Find all providers in zip 97801 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780875534 | Norman Douglas Johnson | Dentist | 3132 W State Road 38, Pendleton, IN 46064-8702 | 2007-08-07 |
| 1871794628 | Sandy Springs Dental Clinic | Dentist | 5302 Hwy 76, Pendleton, SC 29677-9139 | 2007-05-30 |
| 1811038243 | Timothy Blair Smith | Dentist | 310 Se 2nd, Suite 203, Pendleton, OR 97801 | 2007-02-09 |
| 1255470951 | Loc Vinh Vuu | Dentist | 118 Sw 20th St, Pendleton, OR 97801-1804 | 2007-02-06 |
| 1265578371 | Gregory Albert Marzolf | Dentist | 5302 Highway 76, Pendleton, SC 29670-9139 | 2007-01-29 |
| 1154475283 | Arthur Laurens Bruce | Dentist | 896 S Mechanic Street, Pendleton, SC 29670 | 2007-01-23 |
| 1366456857 | Robert D Johnson | Dentist | 809 Sw Court Ave, Pendleton, OR 97801-1910 | 2006-07-28 |
| 1720002942 | James Allen Sisson | Dentist | 7550 S. State Road 67, Pendleton, IN 46064-9280 | 2006-07-27 |
| 1023038866 | Don R Harsch | Dentist | 715 Sw Dorion Ave Ste 2, Pendleton, OR 97801-2071 | 2006-07-21 |
| 1912955832 | Indiana Tmj Treatment Center | Dentist | 210 East Water Street, Pendleton, IN 46064-0206 | 2006-05-04 |
| Find all providers in PENDLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.