DR. CRAIG LEE NELSON (NPI# 1396950176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396950176 |
Entity Type | Individual |
Full Name | DR. CRAIG LEE NELSON |
Credential | DDS |
Practice Address |
405 Union St Lagrange IN 46761-2234 |
Practice Telephone | 2604633123 |
Mailing Telephone | 2604633123 |
Enumeration Date | 2007-05-14 |
Last Update Date | 2019-03-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
12006413A | IN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100159780A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225502719 | Craig H Nelson | Registered Nurse | 16125 Woodlawn Acres Ave, Baton Rouge, LA 70817-5653 | 2019-01-17 |
1578707493 | Craig L. Nelson | Optometrist | 9 N. Beech St., Cortez, CO 81321-3205 | 2009-04-22 |
1861670325 | Craig Nelson | Emergency Medicine | 6665 W Timber Ln, Ludington, MI 49431-1063 | 2008-02-07 |
1477682904 | Craig Edward Nelson | Occupational Therapist | 7th and Albemarle St, Petersburg, VA 23803-0030 | 2007-03-02 |
1306861653 | Craig Livezey Nelson | Dentist | Va Health Care System, 10,000 Bay Pines Boulvard, Saint Petersburg, FL 33708 | 2006-07-13 |
1053301481 | Craig Nelson | Chiropractor | 1539 Crescent Rd, Clifton Park, NY 12065-7701 | 2005-10-26 |
1164031423 | Craig Nelson | Counselor | 104 Sw Kinkade Ave, Boardman, OR 97818 | 2020-07-23 |
1174131627 | Craig Nelson | Pathology | 4312 District Dr, Raleigh, NC 27607-5490 | 2020-07-21 |
1366634602 | Craig Bradley Nelson | Chiropractor | 12309 Gold St, Omaha, NE 68144-2760 | 2007-08-10 |
1184712416 | Craig Nelson | Emergency Medicine | 1 Clara Maass Dr, Clara Maass Medical Center, Belleville, NJ 07109-3550 | 2006-10-11 |
Street Address |
405 UNION ST |
City | LAGRANGE |
State | IN |
Zip Code | 46761-2234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962049007 | Darlene L. Schlotterback | Physical Therapist | 207 N. Townline Rd, Lagrange, IN 46761 | 2019-12-09 |
1083264006 | Kimberly A Hershberger | Pharmacist | 0975 N 00 Ew, Lagrange, IN 46761 | 2019-09-12 |
1134775554 | Kristy Jo Roth | Pharmacist | 0975n 00 Ew, Lagrange, IN 46761 | 2019-08-12 |
1235372277 | Lagrange Surgery Center, LLC | Clinic/Center | 2500 Ventura Way, Lagrange, IN 46761 | 2009-04-07 |
1568565265 | Hook Superx LLC | Pharmacy | 975n Ooew, Lagrange, IN 46761 | 2006-09-07 |
1558305326 | Craig L Nelson Dds Inc | Dentist | 405 Union Street, Lagrange, IN 46761 | 2006-06-15 |
1134184781 | Michael W Conway | Family Medicine | 207 N Townline Rd Ste 104, Lagrange, IN 46761 | 2006-04-18 |
1548220544 | Millard Reed Taylor | Family Medicine | 2120 N Detroit St, Lagrange, IN 46761 | 2006-03-24 |
1891791414 | Larry Best | Podiatrist | 400 1/2 Union Street, Lagrange, IN 46761 | 2005-06-28 |
1972140010 | Vickie L. Pletcher | Physical Therapy Assistant | 207 N. Townline Rd., Lagrange, IN 46761 | 2019-12-09 |
Find all providers in zip 46761 |
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 |
---|---|---|---|---|
1619539814 | Kathleen Ruth Fadler | Dentist | 313 Mooty Bridge Rd Ste 202, Lagrange, GA 30240-1809 | 2019-07-08 |
1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
1265603963 | Tara W Milligan | Dentist | 313 Mooty Bridge Rd, Lagrange, GA 30240-1809 | 2008-03-20 |
1760687693 | James A Tyrer IIi | Dentist | 407 N Greenwood St, Lagrange, GA 30240-2201 | 2007-06-20 |
1114129343 | American Dental of Lagrange, LLC | Dentist | 313 Mooty Bridge Road, Lagrange, GA 30240 | 2007-06-01 |
1174746721 | George W Childress | Dentist | 114 Calumet Center Rd, Lagrange, GA 30241-6703 | 2007-04-11 |
1093845208 | Robert S Gold | Dentist | 104 Harwell Ave, Lagrange, GA 30240-3132 | 2007-03-06 |
1952447153 | K Jackson Dmd PC | Dentist | 204 Smith St, Lagrange, GA 30240-2744 | 2007-01-29 |
1801948294 | Leon Rechtman | Dentist | 105 Vernon St, Lagrange, GA 30240-3109 | 2007-01-17 |
1376609784 | Patricia Ann Salter | Dentist | 1423 Lafayette Pkwy, Lagrange, GA 30241-2552 | 2006-12-29 |
Find all providers in LAGRANGE |
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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.