DR. ERIC WEBB NELSON (NPI# 1376593640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376593640 |
| Entity Type | Individual |
| Full Name | DR. ERIC WEBB NELSON |
| Credential | MD, DDS |
| Practice Address |
3003 W Main St Ste 130 Boise ID 83702-2026 |
| Practice Telephone | 2083427610 |
| Practice Fax Number | 2083441799 |
| Mailing Telephone | 2083427610 |
| Mailing Fax Number | 2083441799 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
D-3420-OS | ID | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544826 | Eric D Nelson | Anesthesiology | 19251 Brookhurst St, Spc 116, Huntington Beach, CA 92646-2923 | 2015-12-16 |
| 1538406749 | Eric David Nelson | Counselor | 2060 Centre Pointe Boulevard, Suite #3, Saint Paul, MN 55120-1271 | 2013-01-08 |
| 1083919534 | Eric T Nelson | Physical Therapist | 2000 Harding St, Clearwater, FL 33765-2507 | 2011-01-13 |
| 1194989632 | Eric Stephen Nelson | Physical Therapy Assistant | 1630 Worcester Rd Apt 412, Framingham, MA 01702-5453 | 2008-07-14 |
| 1245368331 | Eric Helland Nelson | Counselor | 3940 Cedar St, Eureka, CA 95503-7615 | 2007-03-01 |
| 1790845105 | Eric Allen Nelson | Chiropractor | 289 White Horse Pike Ste 201, Atco, NJ 08004-2257 | 2006-12-08 |
| 1528169505 | Eric J Nelson | Physical Therapist | 9174 N Placita San Angel, Tucson, AZ 85742-1122 | 2006-09-25 |
| 1538192422 | Eric G. Nelson | Dentist | 204 N Ahtanum Ave, Wapato, WA 98951-1126 | 2006-07-07 |
| 1912951765 | Eric Christian Nelson | Nurse Practitioner | 121 Oak Bay Rd, Port Hadlock, WA 98339 | 2006-05-19 |
| 1376541805 | Eric Reynold Nelson | Surgery | 3101 Clearwater Dr, Suite A, Prescott, AZ 86305-7180 | 2005-07-08 |
| Street Address |
3003 W MAIN ST STE 130 |
| City | BOISE |
| State | ID |
| Zip Code | 83702-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104248053 | Whitewater Oral Surgery Group Pllc | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2014-01-13 |
| 1043657364 | Jake Allen Peterson | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2013-05-28 |
| 1831496843 | Justin Hastings | Oral & Maxillofacial Surgery | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2011-02-28 |
| 1255435459 | Kevin G Kempers | Dentist | 3003 W Main St Ste 130, Boise, ID 83702-2026 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321966 | Inland Northwest Neuromonitoring Pllc | Psychiatry & Neurology | 950 Bannock Street, Suite 1100, Boise, ID 83702 | 2019-11-22 |
| 1508359084 | Emily Cook | Dietitian, Registered | St. Luke's Rehab Hospital, 600 N Robbins Road, Bosie, ID 83702 | 2018-06-11 |
| 1265925887 | Marla Braendle | Dietitian, Registered | St. Luke's Rehabilitation Hospital, 600 N. Robbins Road, Boise, ID 83702 | 2018-06-08 |
| 1114419678 | Sidrah Khan Psychotherapy PC | Social Worker | 242 N 8th St, Suite 200, Boise, ID 83702 | 2018-05-31 |
| 1508386707 | Emp Idaho Nampa, LLC | General Acute Care Hospital | 350 E Myrtle Street, Suite 100, Boise, ID 83702 | 2017-06-20 |
| 1194264077 | Karen Mangum | Dietitian, Registered | 115 N. Main Street, Suite #203, Boise, ID 83702 | 2017-02-13 |
| 1750828422 | Stephen Pyper | Massage Therapist | 14089 Main St #100, Boise, ID 83702 | 2017-01-19 |
| 1427504398 | The Young Mens Christian Association of Boise City Idaho | Health Educator | 419 N 11th St, Boise, ID 83702 | 2016-08-30 |
| 1942756838 | Brent Hiroshi Sasaki | Pharmacist | 500 West Fort Street (119), Boise, ID 83702 | 2016-08-30 |
| 1578912051 | Marnae Walker | Counselor | 509 S. 14th St, Suite 2, Boise, ID 83702 | 2016-06-06 |
| Find all providers in zip 83702 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095883 | Facial Trauma Associates Pllc | Dentist | 1000 N Curtis Rd Ste 103, Boise, ID 83706-1345 | 2020-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114957917 | Nicholas A Massoth | Dentist | 4121 Clock Tower Ave, Caldwell, ID 83607-5006 | 2006-07-04 |
| 1710184783 | Canyon County Oral Maxillofacial Surgery, Inc | Dentist | 4121 Clock Tower Ave, Caldwell, ID 83607-5006 | 2007-07-02 |
| 1588868442 | Idaho Oral & Maxillofacial Surgery, PC | Dentist | 590 Falls Ave, Twin Falls, ID 83301-3314 | 2007-06-13 |
| 1376684175 | Scott M Blake | Dentist | 333 S Woodruff Ave, Idaho Falls, ID 83401-4322 | 2007-02-12 |
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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.