KORTLAN NELSON (NPI# 1669831848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669831848 |
| Entity Type | Individual |
| Full Name | KORTLAN NELSON |
| Practice Address |
1413 S 2nd St Monroe LA 71202-2739 |
| Mailing Address |
3814 Bayside Cir Monroe LA 71201-2152 |
| Practice Telephone | 3183233162 |
| Mailing Telephone | 3185031019 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6619 | LA | Dental Providers |
| Street Address |
1413 S 2ND ST |
| City | MONROE |
| State | LA |
| Zip Code | 71202-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932359304 | Anthony Ray Nelson | Dentist | 1413 S 2nd St, Monroe, LA 71202-2739 | 2008-09-23 |
| 1669943627 | Nelson Dental Ltd | Clinic/Center | 1413 S 2nd St, Monroe, LA 71202-2739 | 2018-12-16 |
| 1831697978 | Nelson Dental LLC | Clinic/Center | 1413 S 2nd St, Monroe, LA 71202-2739 | 2018-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
| Find all providers in zip 71202 | ||||
| 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 |
|---|---|---|---|---|
| 1821629049 | Daniel A Hodges | Dentist | 1190 West Spring St, Suite A, Monroe, GA 30655 | 2020-01-27 |
| 1669019071 | Daniel Bradley Hodges | Dentist | 1190 W. Spring St, Monroe, GA 30655 | 2019-12-04 |
| 1487143616 | S. Gibree, D.m.d., P.C. | Dentist | 5120 Old Charlotte Hwy, Monroe, NC 28110-7342 | 2018-05-03 |
| 1689162372 | Amara Dental of Monroe, P.a. | Dentist | 211 Applegarth Road, Suite 109, Monroe, NJ 08831 | 2018-04-27 |
| 1942715917 | Monroe Dental Group LLC | Dentist | 1401 N 18th St Ste E, Monroe, LA 71201-4972 | 2017-12-12 |
| 1659884104 | Orange County Dental, P.C. | Dentist | 1 Prag Blvd Unit 111, Monroe, NY 10950-8448 | 2017-11-07 |
| 1487184677 | Daniel Conrid Sharbono | Dentist | 2406 Duval Dr, Monroe, LA 71201 | 2017-06-19 |
| 1730619917 | Leigh Ann Robinson | Dentist | 1507 Lamy Ln Ste A, Monroe, LA 71201-3778 | 2017-06-19 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1326300625 | Dung V Tran | Dentist | 1307 E Franklin St, Suite C, Monroe, NC 28112-5196 | 2012-06-12 |
| Find all providers in MONROE | ||||
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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.