MATTHEW JOHN NIELSEN (NPI# 1356622401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356622401 |
| Entity Type | Individual |
| Full Name | MATTHEW JOHN NIELSEN |
| Credential | D.D.S. |
| Practice Address |
224 W D.l. Ingram Bld. 1408 Cannon Afb NM 88103 |
| Mailing Address |
110 W Ent Ave Attn: 21 Ds/sgdd-dental Clinic Colorado Springs CO 80914-1595 |
| Practice Telephone | 5757844041 |
| Mailing Telephone | 7195561333 |
| Mailing Fax Number | 7195561331 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2018-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DEN-10503 | CO | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 W Ent Ave, Attn: 21 Ds/sgdd-dental Clinic, Colorado Springs, CO 809141595 | 7195561333 | 7195561331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144697848 | Matthew Burns Nielsen | Pharmacist | 1201a S Division St, Traverse City, MI 49684-4426 | 2015-08-28 |
| 1205987500 | Matthew Edward Nielsen | Urology | Unc Chapel Hill Dept of Surgery, Urology: Campus Box 7235, Chapel Hill, NC 27599-0001 | 2007-01-15 |
| 1053868471 | Matthew Phillip Nielsen | Pharmacist | 201 3rd Ave, Seward, AK 99664-2088 | 2016-09-01 |
| 1598147845 | Matthew Nielsen | Family Medicine | 1401 E H St, Mc Cook, NE 69001 | 2015-06-23 |
| 1700129707 | Matthew Alan Nielsen | Urology | 710 Lomax St, Jacksonville, FL 32204 | 2013-03-28 |
| 1235442575 | Matthew John Nielsen | Surgery | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-07-15 |
| 1396075743 | Matthew Dean Nielsen | Podiatrist | 550 Rush Creek Pkwy, Suite A, Liberty, MO 64068-9604 | 2010-01-07 |
| 1215184528 | Matthew Allan Nielsen | Dentist | 324 Se 9th Ave, Suite B, Hillsboro, OR 97123-4247 | 2008-08-19 |
| 1346317740 | Matthew Nielsen | Psychologist | 4700 Las Vegas Blvd N, Nellis Afb, Nellis Afb, NV 89191-6600 | 2006-11-29 |
| Street Address |
224 W D.L. INGRAM BLD. 1408 |
| City | CANNON AFB |
| State | NM |
| Zip Code | 88103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346747151 | Isabella Wolak | Pharmacist | 224 D L Ingram Blvd, Cannon Afb, NM 88103 | 2018-04-09 |
| 1225480544 | Stacey Tatro | Dentist | 224 West D.l. Ingram Ave., Bldg 1408, Cannon Afb, NM 88103 | 2016-07-11 |
| 1871965673 | Chad Bryan Carter | Dentist | 224 W Dl Ingram Ave, Sgpd/dental Clinic, Cannon Air Force Base, NM 88103 | 2015-10-20 |
| 1740660836 | Terah Clifford | Dental Hygienist | 224 W Dl Ingram Blvd, Bldg 1408 Dental Clinic, Cannon Afb, NM 88103 | 2015-06-03 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 1366889487 | Jeremy Michael Strohmayer | General Practice | 511 Chindt Blvd Building 300, 27soss/osm, Cannon Afb, NM 88103 | 2013-05-30 |
| 1689965485 | Bryan Wade Sixkiller | Optometrist | 27th Somdg, 208 W. Casa Blanca Ave., Apo, AA 88103 | 2011-04-27 |
| 1386959500 | Alexandra Buford | Family Medicine | 208 W Casablanca Avenue, Cannon Airforce Base, NM 88103 | 2010-08-12 |
| Find all providers in zip 88103 | ||||
| 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 |
|---|---|---|---|---|
| 1033366406 | Michael S. Hoge | Dentist | 208 W Casablanca Ave, Cannon Afb, NM 88103-5009 | 2008-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803830 | Tri Dental, LLC | Dentist | 3715 Las Estancias Ct Sw Ste 101, Albuquerque, NM 87121-5506 | 2020-08-28 |
| 1609485077 | Joseph Potter | Dentist | 3510 Coors Blvd Sw, Albuquerque, NM 87121-5328 | 2020-07-30 |
| 1760090880 | Elizabeth Hays | Dentist | 1405 S Valley Dr Ste 300, Las Cruces, NM 88005-3132 | 2020-07-15 |
| 1861024861 | Brian K Dennis Dds PC | Dentist | 8400 Osuna Rd Ne Ste 6a, Albuquerque, NM 87111-2073 | 2020-02-07 |
| 1285264242 | Professional Dental Care Pllc | Dentist | 550 Saint Michaels Dr Ste 2, Santa Fe, NM 87505-7604 | 2020-01-18 |
| 1134769235 | Abq Dentists PC | Dentist | 3900 Eubank Blvd Ne Ste 14, Albuquerque, NM 87111-3427 | 2020-01-07 |
| 1477197804 | Juan Tabo Dentistry LLC | Dentist | 1924 Juan Tabo Blvd Ne Ste C, Albuquerque, NM 87112-3358 | 2019-10-29 |
| 1013550094 | Bosque Smiles Dentistry, LLC | Dentist | 5600 Coors Blvd Nw Ste G4, Albuquerque, NM 87120-1877 | 2019-10-23 |
| 1336796473 | Salud Dental Group Chaparral | Dentist | 320 Mccombs Rd Ste E, Chaparral, NM 88081-7937 | 2019-08-22 |
| 1639725732 | John Jerome Fagel | Dentist | 07 Choos Gai Dr, Tohatchi, NM 87325 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | CANNON AFB |
| Zip Code | 88103 |
Please comment or provide details below to improve the information on MATTHEW JOHN NIELSEN.
| 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.