DR. CASEY LEE NELSON (NPI# 1427003128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427003128 |
| Entity Type | Individual |
| Full Name | DR. CASEY LEE NELSON |
| Credential | DDS |
| Practice Address |
5101 Vernon Ave S Suite 1b Edina MN 55436-2172 |
| Practice Telephone | 9529209579 |
| Practice Fax Number | 9529209298 |
| Mailing Telephone | 9529209579 |
| Mailing Fax Number | 9529209298 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D12104 | MN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730369513 | Casey Nelson | Dentist | 7417 Sw Beaverton Hillsdale Hwy Ste 700, Portland, OR 97225-2170 | 2007-11-08 |
| 1750509667 | Casey Nelson | Psychologist | 1515 Magnavox Way, Fort Wayne, IN 46804-1533 | 2007-04-23 |
| 1881230035 | Casey Nelson | Pharmacist | 405 W Grand Ave, Dayton, OH 45405-7538 | 2019-11-22 |
| 1134696560 | Casey Nelson | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2018-10-24 |
| 1548794027 | Casey Boulanger Nelson | Physician Assistant | 9000 Ahwahnee Drive, Yosemite National Park, CA 95389 | 2017-04-12 |
| 1164965638 | Casey Nelson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4504 | 2016-11-30 |
| 1285026625 | Casey Nelson | Speech-Language Pathologist | 1231 E Dewey Ave, Sapulpa, OK 74066-3607 | 2015-02-23 |
| 1407117302 | Casey Morris Nelson | Student in an Organized Health Care Education/Training Program | 1900 E 4th St, Santa Ana, CA 92705-3962 | 2012-06-06 |
| 1457629669 | Casey Christopher Nelson | Pharmacist | 2851 University Ave, Green Bay, WI 54311-5855 | 2011-12-02 |
| 1174813182 | Casey E Nelson | Occupational Therapist | 551 S Higley Rd, Mesa, AZ 85206-2148 | 2011-04-11 |
| Street Address |
5101 VERNON AVE S SUITE 1B |
| City | EDINA |
| State | MN |
| Zip Code | 55436-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768228 | Imr of Mn., LLC | Clinic/Center | 5101 Vernon Ave S, Ste 301, Edina, MN 55436-2164 | 2005-05-26 |
| 1962850545 | Kevin Joseph Liberko | Dentist | 5101 Vernon Ave S, Suite 1b, Edina, MN 55436-2172 | 2016-05-24 |
| 1396089298 | Pan Orthodontic Clinics | Dentist | 5101 Vernon Ave S, Suite 502, Edina, MN 55436-2172 | 2012-11-15 |
| 1821345968 | Yu Pan | Dentist | 5101 Vernon Ave S, Suite 502, Edina, MN 55436-2172 | 2012-08-08 |
| 1497833545 | Stanley P Williamson | Dentist | 5101 Vernon Ave S, 502, Edina, MN 55436-2172 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326697277 | Nancy L. Dahlien | Technician | 5825 Tracy Avenue, Edina, MN 55436 | 2019-09-04 |
| 1194232033 | Kathryn Lagrave Reaney | Social Worker | 5050 Lincoln Dr Ste 350, Edina, MN 55436 | 2017-12-31 |
| 1417403296 | Lori Walker | Marriage & Family Therapist | 5780 Lincoln Drive, Suite 108, Edina, MN 55436 | 2016-08-31 |
| 1417374729 | Alisha Englund | Nurse Practitioner | 5901 Lincoln Drive, Cbc-ehs-2, Edina, MN 55436 | 2014-03-25 |
| 1669894887 | Orthodontic Care Specialists, Pllc | Dentist | 4980 W. 77th St., Edina, MN 55436 | 2014-01-07 |
| 1184976920 | Meisa Interpreting & Translation Services LLC. | Case Management | 5656 Lincoln Dr, Edina, MN 55436 | 2012-10-03 |
| 1730466996 | Gina Louise Smith Hughes | Dentist | 5101 Vernon Avenue South, Suite 1 B, Edina, MN 55436 | 2011-11-15 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1386729978 | Rem Hennepin Inc | Intermediate Care Facility, Mentally Retarded | 5100 William Avenue, Edina, MN 55436 | 2006-10-25 |
| Find all providers in zip 55436 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982262721 | Sleep Well Twin Cities LLC | Dentist | 3400 W 66th St Ste 275, Edina, MN 55435-2156 | 2019-06-05 |
| 1275976797 | Marwa Gamam-forest | Dentist | 7550 France Ave S Ste 138, Edina, MN 55435-4761 | 2013-04-15 |
| 1700149630 | Roger Baumgartner | Dentist | 5547 Village Dr, Edina, MN 55439-1952 | 2012-06-15 |
| 1790967958 | Bashar Alkabbani | Dentist | 6545 France Ave S Ste 681, Edina, MN 55435-2127 | 2007-11-29 |
| 1184759953 | Lisa Kruchaski Thompson | Dentist | 7600 Parklawn, Ste 101, Edina, MN 55435 | 2007-02-22 |
| 1023143161 | David J Elasky Dds Pa | Dentist | 7600 Parklawn Ste 101, Edina, MN 55435-5125 | 2007-02-22 |
| 1194888735 | Drew Francis Spencer | Dentist | 3948 West 50th Street, Suite # 205, Edina, MN 55424-1253 | 2006-12-18 |
| 1801982111 | Centennial Lakes Dental Group | Dentist | 7373 France Ave S Ste 500, Edina, MN 55435-4551 | 2006-10-05 |
| 1851320121 | Michael Joseph Zingale | Dentist | 3930 Sunnyside Rd, Edina, MN 55424-1211 | 2006-06-30 |
| 1770534547 | Michael John Gitzen | Dentist | 5101 Vernon Avenue, Suite 1b, Edina, MN 55436 | 2006-05-15 |
| Find all providers in EDINA | ||||
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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.