KEVIN TED NELSON (NPI# 1669601886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669601886 |
| Entity Type | Individual |
| Full Name | KEVIN TED NELSON |
| Credential | DDS |
| Practice Address |
5952 Blackstone Way Ste 100 Nine Mile Falls WA 99026-4900 |
| Practice Telephone | 5094640002 |
| Practice Fax Number | 5094642378 |
| Mailing Telephone | 5094640002 |
| Mailing Fax Number | 5094642378 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2016-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2009015337 | MO | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60690890 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780191775 | Kevin David Nelson | Pharmacist | 111 Redtail Ct Apt 308, Mankato, MN 56001 | 2017-12-29 |
| 1316379894 | Kevin R Nelson | Pharmacist | 55 Pine Lake Ave, La Porte, IN 46350-3027 | 2013-08-06 |
| 1154552958 | Kevin William Nelson | Occupational Therapist | 98 Forest Ave, West Caldwell, NJ 07006-7968 | 2009-07-29 |
| 1699978932 | Kevin Mann Nelson | Dentist | 350 W Woodrow Wilson Ave Ste 310, Jackson, MS 39213-7690 | 2007-06-06 |
| 1699824045 | Kevin Reed Nelson | Optometrist | 228 Bellows Avenue, Frankfort, MI 49635-2158 | 2007-01-08 |
| 1396810123 | Kevin T. Nelson | Dentist | 1116 W Loucks Ave, Peoria, IL 61604-2677 | 2006-11-20 |
| 1356440283 | Kevin Richard Nelson | Chiropractor | 309 N Labree, Thief River Falls, MN 56701-1912 | 2006-09-21 |
| 1316976814 | Kevin F Nelson | Physician Assistant | 3237 Voyager Dr, Green Bay, WI 54311-8349 | 2006-06-30 |
| 1700857653 | Kevin D Nelson | Chiropractor | 9075 Forsstrom Dr, Lonetree, CO 80124-6737 | 2006-01-30 |
| 1922664705 | Kevin Jun Nelson | Physical Therapist | 3854 Village Seven Rd, Colorado Springs, CO 80917-2801 | 2019-05-16 |
| Street Address |
5952 BLACKSTONE WAY STE 100 |
| City | NINE MILE FALLS |
| State | WA |
| Zip Code | 99026-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235455932 | New Health Programs Association | Clinic/Center | 5952 Blackstone Way Ste 100, Nine Mile Falls, WA 99026-4900 | 2010-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669033288 | Suncrest Pharmacy Group, LLC | Pharmacy | 5919f Highway 291, Nine Mile Falls, WA 99026 | 2019-06-25 |
| 1003332172 | Linda Diane Odell | Registered Nurse | 15010 W Four Mound Rd, Nine Mile Falls, WA 99026 | 2017-08-20 |
| 1578679767 | Greater Spokane Therapies | Physical Therapist | W 13011 Shore Road, Nine Mile Falls, WA 99026 | 2006-08-22 |
| 1285604892 | June S Goldman | Family Medicine | 5952 Blackstone Way, Lake Spokane Community Health Center, Nine Mile Falls, WA 99026-4900 | 2006-01-25 |
| 1417426511 | New Health Programs Association | Pharmacy | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2018-11-19 |
| 1356816383 | Hyojin Meadows | Nurse Practitioner | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2018-10-05 |
| 1528410545 | Kylie Mccullough | Pharmacist | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2016-07-02 |
| 1275887705 | Matthew Peter Dinsmore | Nurse Practitioner | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2012-11-06 |
| 1831214329 | New Health Programs Association | Clinic/Center | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2007-03-21 |
| 1811083017 | Robert Schryer | Dentist | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2006-10-05 |
| Find all providers in zip 99026 | ||||
| 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 |
|---|---|---|---|---|
| 1811083017 | Robert Schryer | Dentist | 5952 Blackstone Way, Nine Mile Falls, WA 99026-4900 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113015 | Victor Bing-sheng Shih | Dentist | 9235 158th Pl Ne, Redmond, WA 98052-7524 | 2020-10-28 |
| 1730789082 | Kim & Cervantes-kim Dds Pllc | Dentist | 945 Elliott Ave W Ste 212, Seattle, WA 98119-3645 | 2020-10-27 |
| 1285233023 | Se Won An | Dentist | 7311 Ne 141st St Ste 2, Kirkland, WA 98034-9703 | 2020-10-22 |
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1790383867 | Washington Dental Corporation, PC | Dentist | 620 1st Ave N, Seattle, WA 98109-4001 | 2020-10-12 |
| 1275140535 | Byeonguk Kang | Dentist | 1959 Ne Pacific St Rm B403, Seattle, WA 98195-0001 | 2020-09-29 |
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1013524743 | David Park | Dentist | 810 3rd Ave Ste 200, Seattle, WA 98104-1614 | 2020-09-27 |
| 1821605940 | Jade W. Gan, Dds, Pllc | Dentist | 12902 Bothell Everett Hwy Ste E, Everett, WA 98208-6635 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | NINE MILE FALLS |
| Zip Code | 99026 |
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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.