DR. KENNETH EUGENE NELSON (NPI# 1265454573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265454573 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EUGENE NELSON |
| Credential | DDS |
| Practice Address |
401 S Euclid Ave Bay City MI 48706-3205 |
| Practice Telephone | 9896865410 |
| Mailing Telephone | 9896865410 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
51820 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
D-1682 | ID | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11981 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | UCCI PROVIDER NUMBER | 800066 | 01 |
| ID | LICENSE # (INACTIVE | D-1682 | 01 |
| MI | BCBS DENTAL PIN | D1198100 | 01 |
| MI | LICENSE NUMBER | 11981 | 01 |
| CA | LICENSE # (INACTIVE) | 51820 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649435231 | Kenneth Roy Nelson | Dentist | 1505 Shepard Dr Ste 101, Santa Maria, CA 93454-7016 | 2008-07-23 |
| 1336293471 | Kenneth E Nelson | Family Medicine | 2676 G Rd, Grand Junction, CO 81506-8395 | 2007-01-23 |
| 1548219694 | Kenneth Scott Nelson | Pharmacist | 132 S. Main, Luck Pharmacy Inc, Luck, WI 54853 | 2006-05-08 |
| 1922650928 | Kenneth Nelson | Behavior Technician | 28000 Woodward, Suite 100, Royal Oak, MI 48067 | 2019-07-10 |
| 1265728893 | Kenneth Neal Nelson | Internal Medicine | 5700 Cooper Foster Park Rd W, Lorain, OH 44053-4152 | 2011-06-22 |
| 1841376910 | Kenneth Nelson | Orthopaedic Surgery | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2006-10-31 |
| 1538183900 | Kenneth W. Nelson | Dentist | 1919 N Webb Rd, Wichita, KS 67206-3405 | 2006-07-27 |
| 1700838745 | Kenneth Nelson | Family Medicine | 2434 Wolf Rd, Westchester, IL 60154-5634 | 2006-05-17 |
| 1811945710 | Kenneth Nelson | Internal Medicine | 1000 E Paris Ave Se, Suite 260, Grand Rapids, MI 49546-3680 | 2006-05-04 |
| 1114902244 | Kenneth E Nelson | Anesthesiology | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2005-12-13 |
| Street Address |
401 S EUCLID AVE |
| City | BAY CITY |
| State | MI |
| Zip Code | 48706-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477531457 | West Bay Dental PC | Dentist | 401 S Euclid Ave, Bay City, MI 48706-3205 | 2006-01-09 |
| 1629440995 | Darrin M. Jones, D.d.s PC | Dentist | 401 S Euclid Ave, Bay City, MI 48706-3205 | 2015-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574357 | Kalie Keyes | Behavior Technician | 3710 Katalin Ct, Bay City, MI 48706 | 2020-10-06 |
| 1790251049 | Leann Marie Miller | Nurse Practitioner | Visiting Physicians Association, 1484 Straits Drive, Bay City, MI 48706 | 2018-10-15 |
| 1659883676 | Matthew Zamora | Internal Medicine | 4818 S Professional Dr, Bay City, MI 48706 | 2017-10-31 |
| 1376082230 | Deidre Dotson | Social Worker | 1217 S Euclid, Bay City, MI 48706 | 2017-02-13 |
| 1790100717 | Kochar Plc | Internal Medicine | 4817 E. Professional Drive, Bay City, MI 48706 | 2014-02-27 |
| 1992136477 | Janelle Gale Ballard | Music Therapist | 4106 Wilder Rd, Bay City, MI 48706 | 2013-12-09 |
| 1619319084 | Jessica T Jang | Veterinarian | 6015 West Side Saginaw Rd, Bay City, MI 48706 | 2013-07-25 |
| 1427493634 | Cynthia Marie Bordeau | Social Worker | 1217 S. Euclid, Bay City, MI 48706 | 2013-05-01 |
| 1902162746 | Delta Family Clinic South PC | Psychologist | 901 N. Euclid Ave., Bay City, MI 48706 | 2012-04-05 |
| 1669762985 | James Norbert Stachowski | Pharmacist | 3880 Wilder, Bay City, MI 48706 | 2011-04-08 |
| Find all providers in zip 48706 | ||||
| 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 |
|---|---|---|---|---|
| 1578106464 | Bay City Kids Dentistry Pllc | Dentist | 4208 Avenue F, Bay City, TX 77414-8006 | 2019-10-23 |
| 1417420837 | Pdb Dental Pllc | Dentist | 4310 7th St Ste 800, Bay City, TX 77414-5289 | 2019-01-08 |
| 1912274531 | Todd Rathke Dds, Plc | Dentist | 2272 21st St, Bay City, MI 48708-7407 | 2011-11-28 |
| 1578863494 | Crayden Dennard, D.d.s. & Ricardo Lucio, D.d.s., Pllc | Dentist | 4040 Ave F, Bay City, TX 77414 | 2010-10-26 |
| 1053620476 | Rajvinder Bhatia | Dentist | 3505 Wilder Rd, Suite A, Bay City, MI 48706-2173 | 2010-10-04 |
| 1790933208 | Parneet Virk | Dentist | 3505 Wilder Rd Ste A, Bay City, MI 48706-2173 | 2008-09-09 |
| 1275732497 | Robert M Taylor IIi Dds Plc | Dentist | 1610 S Euclid, Bay City, MI 48706 | 2007-07-17 |
| 1346454790 | Carl William King | Dentist | 1807 Merlin St, Bay City, TX 77414-3131 | 2007-05-09 |
| 1710190871 | John Michael Sheridan | Dentist | 3459 E Midland Rd, Bay City, MI 48706-2824 | 2007-05-07 |
| 1730307737 | Randall H Brown | Dentist | 510 S Euclid Ave, Bay City, MI 48706-3208 | 2007-04-23 |
| Find all providers in BAY CITY | ||||
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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.