GARY R NELSON DDS MSD INC (NPI# 1962693663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962693663 |
Entity Type | Organization |
Organization Name | GARY R NELSON DDS MSD INC |
Practice Address |
141 Camino Alto Ste 3 Mill Valley CA 94941 |
Practice Telephone | 4153832200 |
Practice Fax Number | 4153832617 |
Mailing Telephone | 4153832200 |
Mailing Fax Number | 4153832617 |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |
Authorized Official Name | DR. GARY R NELSON (DENTIST) |
Authorized Official Telephone | 4153832200 |
Authorized Official Credential | DDS MSD INC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223G0001X |
Dentist Specialization: General Practice |
27624 | CA | Dental Providers |
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
27624 | CA | Dental Providers |
Street Address |
141 CAMINO ALTO STE 3 |
City | MILL VALLEY |
State | CA |
Zip Code | 94941 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114911617 | Vivian Marie Broadway-firmage | Dentist | 141 Camino Alto, Suite 2, Mill Valley, CA 94941-2246 | 2005-09-12 |
1629454061 | Sherman Chan, Dds, Inc. | Dentist | 141 Camino Alto, Suite 4, Mill Valley, CA 94941-2246 | 2015-08-08 |
1902108541 | Planned Parenthood: Shasta-diablo, Inc. | Clinic/Center | 141 Camino Alto, Mill Valley, CA 94941-2246 | 2010-12-02 |
1427297605 | Sherman Chan | Dentist | 141 Camino Alto, Suite 4, Mill Valley, CA 94941-2246 | 2009-02-12 |
1619167624 | Kellie Ann Magee | Dentist | 141 Camino Alto, Suite 3, Mill Valley, CA 94941 | 2007-07-26 |
1073681110 | Noellette P Tangtrongsakdi-falkow | Dentist | 141 Camino Alto, Suite 5, Mill Valley, CA 94941-2246 | 2006-11-30 |
1700847076 | Sonia Turki Raina | Dentist | 141 Camino Alto, Suite # 3, Mill Valley, CA 94941-2246 | 2006-03-28 |
1497746168 | Dawn Ellen Stock | Dentist | 141 Camino Alto, Ste 4, Mill Valley, CA 94941-2246 | 2005-11-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730707464 | Onward Cares, Inc. | Private Vehicle | 201 Morning Sun Ave, Mill Valley, CA 94941 | 2020-07-09 |
1255973848 | Cara Nicole Christie | Dietitian, Registered | 35 Miller Avenue Suite #273, Mill Valley, CA 94941 | 2019-10-15 |
1538698774 | Shari Lyn Coskey | Psychologist | 311 Miller Ave Ste A-1, Mill Valley, CA 94941 | 2017-06-10 |
1225572662 | Katelynn Allen | Physical Therapist | 421 Miller Ave, Mill Valley, CA 94941 | 2016-12-05 |
1134591340 | Sheree Lyn Reed | Pharmacist | 800 Redwood Hwy, Frontage Rd #10, Mill Valley, CA 94941 | 2015-10-27 |
1235527904 | Sheila Francis Lynch | Social Worker | 33 Millwood Street, Suite #3, Mill Valley, CA 94941 | 2015-01-05 |
1790197580 | Linden Farrar Berry | Marriage & Family Therapist | 275 Miller Avenue, Mill Valley, CA 94941 | 2014-05-28 |
1073930343 | Eman Elmi | Podiatrist | 7 North Knoll Road Suite 3, Mill Valley, CA 94941 | 2014-03-25 |
1053657726 | Susan Pauly-o'neill | Nurse Practitioner | 750 Redwood Hwy Frontage Rd, Mill Valley, CA 94941 | 2012-12-27 |
1598049652 | John Deri | Psychiatry & Neurology | 10 Millwood Street, Suite #4, Mill Valley, CA 94941 | 2011-10-06 |
Find all providers in zip 94941 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801942859 | James Bradley Morris | Dentist | 163 Miller Ave, Suite 2, Mill Valley, CA 94941-2759 | 2007-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902272 | Prajna Banan | Dentist | 10833 Le Conte Ave Rm A0-156a, Los Angeles, CA 90095-3075 | 2020-11-03 |
1780299891 | Craig W. Conrow Dds Ms Inc | Dentist | 73993 Highway 111 Ste 200, Palm Desert, CA 92260-4034 | 2020-09-15 |
1750995601 | Maggie T. Chao A Professional Corporation | Dentist | 1475 Cedarwood Ln Ste C, Pleasanton, CA 94566-6128 | 2020-09-08 |
1447881123 | Setia Dental Corporation | Dentist | 1130 Folsom St, San Francisco, CA 94103-3928 | 2020-01-30 |
1780239954 | Rishabh Pravin Acharya | Dentist | 707 Parnassus Avenue, D-4000, San Francisco, CA 94143 | 2019-08-05 |
1295395796 | Pleasant Hill Prosthodontics | Dentist | 401 Gregory Ln Ste 130, Pleasant Hill, CA 94523-2836 | 2019-06-17 |
1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
1457834889 | William Ginzburg Dental Center Inc | Dentist | 13286 Fiji Way, Marina Del Rey, CA 90292-7119 | 2018-09-12 |
1528549730 | Alison Fishman | Dentist | 160 Bovet Rd Ste 307, San Mateo, CA 94402-3138 | 2018-08-25 |
1912483389 | Edmond Armand Bedrossian | Dentist | 450 Sutter St Rm 2618, San Francisco, CA 94108-4205 | 2018-07-18 |
Find all providers with the same taxonomy |
City | MILL VALLEY |
Zip Code | 94941 |
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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.