KIRBY NELSON ORTHODONTICS (NPI# 1861586083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861586083 |
| Entity Type | Organization |
| Organization Name | KIRBY NELSON ORTHODONTICS |
| Other Organization Name | KIRBY M NELSON DDS PS |
| Practice Address |
244 Bendigo Blvd N North Bend WA 98045 |
| Mailing Address |
Po Box 1850 North Bend WA 98045 |
| Practice Telephone | 4258881896 |
| Practice Fax Number | 4258881866 |
| Mailing Telephone | 4258881896 |
| Mailing Fax Number | 4258881866 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KIRBY MARTIN NELSON (PRESIDENT) |
| Authorized Official Telephone | 4258881896 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DE00007702 | WA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kirby M Nelson DDS PS | Former Legal Business Name - Organization |
| Street Address |
244 BENDIGO BLVD N |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639428634 | Craig Elgin | Dentist | 2901 Broadway Ave, North Bend, OR 97459-2219 | 2012-09-05 |
| 1639263833 | John Craig Stephenson | Dentist | 2901 Broadway, North Bend, OR 97459 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539301 | Jack Hou & Kortne Frederick Hou PC | Dentist | 22603 Ne Inglewood Hill Rd Ste 200, Sammamish, WA 98074-7105 | 2020-08-19 |
| 1629686175 | Paul S. Kahlon, Pllc | Dentist | 13209 44th Ave Se Ste 102, Mill Creek, WA 98012-8985 | 2020-07-21 |
| 1457975948 | Hurst and Shannon Pllc | Dentist | 400 Pine St Ste 2017, Seattle, WA 98101-3625 | 2020-06-01 |
| 1043840200 | Kjeld Aamodt PC | Dentist | 500 108th Ave Ne Ste 1710, Bellevue, WA 98004-5598 | 2020-01-16 |
| 1861040800 | Jack Hou & Kortne Frederick Hou PC | Dentist | 451 Duvall Ave Ne Ste 230, Renton, WA 98059-4675 | 2019-09-03 |
| 1972165942 | Claire Kuo Pllc | Dentist | 4300 Talbot Rd S Ste 401, Renton, WA 98055-6238 | 2019-06-30 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1699331363 | Chet Jenkins PC | Dentist | Pioneer Specialty Services, 110 W Yakima Valley Hwy, Sunnyside, WA 98944-1352 | 2019-05-17 |
| 1578025946 | Samuel Finkleman | Dentist | 411 Strander Blvd Ste 104, Tukwila, WA 98188-2924 | 2019-04-03 |
| 1891250429 | Daniel Lee, Dds, and Christina Lee, Dds, Ms, Pllc | Dentist | 2911 2nd Ave, Suite 106, Seattle, WA 98121-3065 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
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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.