DR. SEAN K. NELSON (NPI# 1215925151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215925151 |
| Entity Type | Individual |
| Full Name | DR. SEAN K. NELSON |
| Credential | D.D.S. |
| Practice Address |
205 6th Pl Nw Austin MN 55912-3025 |
| Practice Telephone | 5074339515 |
| Practice Fax Number | 5074340254 |
| Mailing Telephone | 5074339515 |
| Mailing Fax Number | 5074340254 |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11338 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS IDENTIFIER | 124L8NE | 01 |
| MN | HEALTH PARTNERS IDENTIFIE | 1035 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350402 | Sean Nelson | Counselor | 1122 Ne 122nd Ave Ste 102, Portland, OR 97230-2081 | 2019-01-15 |
| 1013450188 | Sean Craig Nelson Jr. | Specialist/Technologist | 1026 E Fort Ave, Baltimore, MD 21230-5101 | 2016-11-22 |
| 1477805695 | Sean Nelson | Specialist/Technologist | 531 Lakeland Plz, Cumming, GA 30040 | 2012-10-11 |
| 1669016101 | Sean Michael Nelson | Behavior Technician | 3335 M St, Merced, CA 95348-2714 | 2019-10-28 |
| 1336628882 | Sean P Nelson | Licensed Vocational Nurse | 1501 E El Paso St, Fort Worth, TX 76102-6700 | 2018-08-07 |
| 1134614902 | Sean Elliott Nelson | Counselor | 7 Vauxhall St, New London, CT 06320-5711 | 2018-06-25 |
| 1477044758 | Sean Darrell Nelson | Family Medicine | 2501 Pierce St, Sioux City, IA 51104-3725 | 2018-05-23 |
| 1083069983 | Sean Nelson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2016-04-28 |
| 1437425915 | Sean Trevar Nelson | Family Medicine | 655 7th St Bldg 700700a, 78 Mdg/sgof, Robins Afb, GA 31098-2227 | 2012-03-28 |
| 1093927709 | Sean Nelson | Emergency Medicine | 720 N Denton Tap Rd, Coppell, TX 75019-2162 | 2007-05-04 |
| Street Address |
205 6TH PL NW |
| City | AUSTIN |
| State | MN |
| Zip Code | 55912-3025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753493 | Nelson Family Dental, Pllc | Dentist | 205 6th Pl Nw, Austin, MN 55912-3025 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538152 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 313 2nd Ave Ne, Austin, MN 55912 | 2019-09-26 |
| 1669029831 | David Kuehn | Specialist/Technologist | 1508 Main St. N, Austin, MN 55912 | 2019-08-22 |
| 1841844396 | Heather A Peterson | Social Worker | 101 21st Street Se, Austin, MN 55912 | 2019-08-01 |
| 1477058287 | Gerard Academy | Counselor | 1101 28th St Ne, Austin, MN 55912 | 2018-03-26 |
| 1821518739 | Steven Register | Specialist/Technologist | 1803 2nd Ave Sw, Austin, MN 55912 | 2017-06-21 |
| 1366849259 | Kristen Ashley Templeton | Dentist | 800 1st Avenue Sw, Austin, MN 55912 | 2014-11-20 |
| 1336560333 | Rem Woodvale, Inc. Cottonwood | Intermediate Care Facility, Mentally Retarded | 2311 9th Avenue Sw, Austin, MN 55912 | 2013-12-18 |
| 1780923458 | Kurt Baumgartner | Hearing Instrument Specialist | 507 1 St Nw, Austin, MN 55912 | 2013-01-31 |
| 1396059242 | Lorna Kay Siefke-harbor | Psychologist | 902 19th Ave Sw, Austin, MN 55912 | 2010-08-03 |
| 1972777068 | Stanley Brent Stutzman | Psychologist | 301 12 Place Nw, Austin, MN 55912 | 2008-04-18 |
| Find all providers in zip 55912 | ||||
| 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 |
|---|---|---|---|---|
| 1750980025 | Neda Hani Tabaei Zavareh | Dentist | 10900 Twisted Elm Dr, Austin, TX 78726-2369 | 2020-10-19 |
| 1356956882 | Pediatric Dental Professionals, Pllc | Dentist | 9015 Mountain Ridge Dr Ste 320, Austin, TX 78759-8488 | 2020-09-11 |
| 1043823727 | Dimple Sharma Pllc | Dentist | 8700 Menchaca Rd Ste 102, Austin, TX 78748-5372 | 2020-08-24 |
| 1295343036 | Nair & Pillai Serenity Dental, Pllc | Dentist | 8731 W Highway 71 Ste 102, Austin, TX 78735-8410 | 2020-07-17 |
| 1972130672 | Meredith Rae Mosier | Dentist | 421 W 3rd St Apt 811, Austin, TX 78701-4166 | 2020-03-24 |
| 1144863861 | Michelle Hedgecock Dds Pllc | Dentist | 1008 Mo Pac Circle Ste 100, Austin, TX 78746-6808 | 2019-10-25 |
| 1275174799 | Debora L Ayres | Dentist | 3900 Ranch Road 620 S Ste 106, Austin, TX 78738-6311 | 2019-10-06 |
| 1922649730 | Sarah Workman | Dentist | 11615 Angus Rd Ste 110, Austin, TX 78759-4006 | 2019-10-02 |
| 1568013761 | River Place Dental | Dentist | 7011 Ribelin Ranch Rd Ste 100, Austin, TX 78750-8585 | 2019-09-28 |
| 1508411372 | Abram Ortega | Dentist | 3909 N Ih 35 Ste A1, Austin, TX 78722-1529 | 2019-08-07 |
| Find all providers in AUSTIN | ||||
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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.