DR. TYLER ELLIOTT NELSON (NPI# 1184860561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184860561 |
| Entity Type | Individual |
| Full Name | DR. TYLER ELLIOTT NELSON |
| Credential | D.M.D. |
| Practice Address |
2801 Waterman Blvd Ste 240 Fairfield CA 94534-2987 |
| Practice Telephone | 7074285427 |
| Practice Fax Number | 7074281922 |
| Mailing Telephone | 7074285427 |
| Mailing Fax Number | 7074281922 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2016-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 56695 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740778158 | Tyler Nelson | Specialist/Technologist | 11501 30 Hwy Sw, Hayfield, MN 55940-8602 | 2018-05-01 |
| 1396159885 | Tyler Leroy Nelson | Chiropractor | 1951 W 4700 S Ste 2, Taylorsville, UT 84129-1108 | 2014-06-12 |
| 1740394865 | Tyler Scott Nelson | Chiropractor | 5434 Yadkin Rd, Fayetteville, NC 28303-3199 | 2006-08-18 |
| 1770104069 | Tyler Nelson | Optometrist | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2020-04-28 |
| 1558900159 | Tyler G Nelson | Nurse Anesthetist, Certified Registered | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2019-12-30 |
| 1336701648 | Tyler Nelson | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2019-07-08 |
| 1801381892 | Tyler Merrill Nelson | Dentist | 378 E 400 S Ste 1, Springville, UT 84663-1981 | 2018-06-22 |
| 1821587056 | Tyler Freedell Nelson | Student in an Organized Health Care Education/Training Program | 4104 Se 82nd Ave Ste 250, Portland, OR 97266-2954 | 2018-05-03 |
| 1790093599 | Tyler E Nelson | Dentist | 1411 E 31st St, Department of Oral and Maxillofacial Surgery, Oakland, CA 94602-1018 | 2010-09-15 |
| 1477860385 | Tyler Scott Nelson | Physician Assistant | 50 N Medical Dr, Salt Lake City, UT 84132-1100 | 2010-09-13 |
| Street Address |
2801 WATERMAN BLVD STE 240 |
| City | FAIRFIELD |
| State | CA |
| Zip Code | 94534-2987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174913578 | Tyler E Nelson Dmd Md Inc | Clinic/Center | 2801 Waterman Blvd Ste 240, Fairfield, CA 94534-2987 | 2015-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922187 | Solano County Superintendent of Schools | Marriage & Family Therapist | 5100 Business Center Drive, Fairfield, CA 94534 | 2019-06-25 |
| 1205312436 | John Will Hubbard Iv | Behavioral Analyst | 3426 Glen Ellen Dr, Fairfield, CA 94534 | 2018-07-11 |
| 1508358003 | Advent Healthcare Services LLC | Hospice Care, Community Based | 1300 Oliver Rd Ste 350, Fairfield, CA 94534 | 2018-05-31 |
| 1447770268 | Nicole Valentine | Social Worker | 1300 Oliver Rd., 193, Fairfield, CA 94534 | 2017-06-22 |
| 1700339843 | Lap of Love | Point of Service | 3286 Inwood Place, Fairfield, CA 94534 | 2016-07-25 |
| 1013398577 | Paul Severino Bright | Marriage & Family Therapist | 1771 Barton Dr, Fairfield, CA 94534 | 2015-06-10 |
| 1376920264 | Darshan Patel | Internal Medicine | 4520 Business Center Dr, Fairfield, CA 94534 | 2015-04-30 |
| 1972906048 | Kathleen Therese Omeara | Psychologist | 4416 Starflower Ct., Fairfield, CA 94534 | 2014-10-03 |
| 1689090391 | Solano Diagnostics Imaging Medical Group | Radiology | 4500 Business Center Drive, Fairfield, CA 94534 | 2014-03-06 |
| 1174953368 | Alice Lane Therrell | Registered Nurse | 4160 Suisun Valley Rd #132, Fairfield, CA 94534 | 2013-11-25 |
| Find all providers in zip 94534 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1093282923 | Valle Smiles | Dentist | 1955 W Texas St Ste 12, Fairfield, CA 94533-4462 | 2018-10-29 |
| 1437658614 | S.y.y Jang Dds Corp | Dentist | 1955 W Texas St Ste 2c, Fairfield, CA 94533-4462 | 2018-02-02 |
| 1104347384 | Avanthi Tiruvadi | Dentist | 1700 Post Rd Ste A, Fairfield, CT 06824-5795 | 2017-06-28 |
| 1659823110 | Neal Merchant | Dentist | 2801 Waterman Blvd Ste 120, Fairfield, CA 94534-2987 | 2016-11-01 |
| 1346625407 | Bernadette Tesorero Ancheta | Dentist | 1555 Webster St, Suite B, Fairfield, CA 94533-4999 | 2015-07-29 |
| 1033521299 | Wendy Wang Austin | Dentist | 2226 Black Rock Tpke Ste 1, Fairfield, CT 06825-3240 | 2014-05-22 |
| 1306275482 | Steve Halili Galvan | Dentist | 1500 Oliver Rd, Ste. F, Fairfield, CA 94534-3450 | 2013-11-08 |
| 1568890838 | Gill and Lambridis Dental Corporation | Dentist | 3332 N Texas St Ste 5c, Fairfield, CA 94533-9758 | 2013-10-24 |
| 1578990099 | Navid Mehranpour | Dentist | 1545 N Texas St Ste 311, Fairfield, CA 94533-5623 | 2013-09-29 |
| Find all providers in FAIRFIELD | ||||
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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.