DR. RICKY DEAN NELSON (NPI# 1922095983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922095983 |
| Entity Type | Individual |
| Full Name | DR. RICKY DEAN NELSON |
| Credential | D.D.S., M.S. |
| Practice Address |
974 73rd St Suite 18 Windsor Heights IA 50312-1024 |
| Practice Telephone | 5152230602 |
| Practice Fax Number | 5152237346 |
| Mailing Telephone | 5152230602 |
| Mailing Fax Number | 5152237346 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
06911 | IA | Dental Providers |
| Street Address |
974 73RD ST SUITE 18 |
| City | WINDSOR HEIGHTS |
| State | IA |
| Zip Code | 50312-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164429403 | Praveen Chandra Prasad | Surgery | 974 73rd St, Suite 25, Windsor Heights, IA 50312-1024 | 2005-07-01 |
| 1932630167 | Brown Therapy Resources LLC | Community/Behavioral Health | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2017-03-21 |
| 1891230447 | Rebecca Lake | Chiropractor | 974 73rd St, #40, Windsor Heights, IA 50324-1024 | 2017-01-05 |
| 1851643019 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50324-1024 | 2012-10-11 |
| 1477709228 | Kevin Scott Brown | Counselor | 974 73rd St, Suite 24, Windsor Heights, IA 50324-1024 | 2008-08-13 |
| 1972760916 | Rick Nelson Endodontic PC | Preferred Provider Organization | 974 73rd St, Suite 18, Windsor Heights, IA 50312-1024 | 2008-05-19 |
| 1124216882 | Kelly Jesica Pearson | Nurse Practitioner | 974 73rd St, Windsor Heights, IA 50312-1024 | 2007-10-09 |
| 1891990271 | Rachelle L Gammon | Pediatrics | 974 73rd St, Suite 30, Windsor Heights, IA 50312-1024 | 2007-06-18 |
| 1811108749 | Demarco Dental Practice,p.c. | Dentist | 974 73rd St, Suite 37, Windsor Heights, IA 50312-1026 | 2007-05-24 |
| 1093922940 | William L Pearce Jr.,dds,pc | Dentist | 974 73rd St, Suite37, Windsor Heights, IA 50312-1024 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837976 | Devon Anderson | Student in an Organized Health Care Education/Training Program | Des Moines University Pa Program, 3200 Grand, Des Moines, IA 50312 | 2020-03-27 |
| 1578190583 | Christian Ostrander | Student in an Organized Health Care Education/Training Program | Des Moines University-pa Program 3200 Grand Avenue, Des Moines, IA 50312 | 2020-03-27 |
| 1194209312 | Margaret Dedecker | Speech-Language Pathologist | 644 24th St., Des Moines, IA 50312 | 2018-09-24 |
| 1942702410 | Nelson-kirby Therapy & Consulting Services, LLC | Marriage & Family Therapist | 3900 Ingersoll Avenue Suite 108, Des Moines, IA 50312 | 2018-03-01 |
| 1851839864 | Lawrence Scanlon | Counselor | 412 42nd St, Des Moines, IA 50312 | 2017-02-09 |
| 1104275122 | Melissa Joshel | Social Worker | 2116 Grand Ave Ste 2, Des Moines, IA 50312 | 2016-06-09 |
| 1629435813 | Abby Michele Miller | Acupuncturist | 531 40th Street, Des Moines, IA 50312 | 2016-01-20 |
| 1326410689 | Dawn Theresa Corriere | Advanced Practice Midwife | 3714 Ingersoll Ave, Des Moines, IA 50312 | 2015-10-27 |
| 1336558154 | Paul Johnston | Counselor | 600 42nd Street, Des Moines, IA 50312 | 2014-08-06 |
| 1083847214 | Mark David Ravreby | Internal Medicine | 3663 Grand Ave, #204, Des Moines, IA 50312 | 2009-09-04 |
| Find all providers in zip 50312 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568813780 | Carolina Cucco | Dentist | 322 Dental Science Building South, Iowa City, IA 52242-1001 | 2016-06-29 |
| 1114301231 | Chase Wicker | Dentist | 2750 1st Ave Ne Ste 410, Cedar Rapids, IA 52402-4831 | 2015-07-18 |
| 1285041541 | Kenneth Hermsen | Dentist | 114 1/2 S. 6th Street, Council Bluffs, IA 51501-4324 | 2014-07-18 |
| 1134552995 | Daniel David Hiserote Jr. | Dentist | 1629 1st Ave Sw, Sioux Center, IA 51250-1120 | 2013-08-15 |
| 1649521121 | Ben Cooper Jorgensen | Dentist | 550 Pond View Dr Ste 2, North Liberty, IA 52317 | 2012-09-25 |
| 1407130420 | Rene Chu | Dentist | 341 Dental Science S, Iowa City, IA 52242-1001 | 2011-10-10 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1700105442 | Cedar Valley Endodontics, LLC | Dentist | 209 Brookeridge Dr, Waterloo, IA 50702-5703 | 2010-05-20 |
| 1124275490 | Jose David Vela | Dentist | Department of Endodontics, 435 Dental Science Building S., Iowa City, IA 52242 | 2008-08-19 |
| 1134317845 | Tobin Norman Drake | Dentist | 435 Dsb South, University of Iowa - College of Dentistry, Iowa City, IA 52242 | 2007-10-09 |
| Find all providers with the same taxonomy | ||||
| City | WINDSOR HEIGHTS |
| Zip Code | 50312 |
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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.