DR. JOHN MICHAEL NELSON (NPI# 1528160868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528160868 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL NELSON |
| Credential | DDS |
| Practice Address |
3166 Golansky Blvd Suite 101 Woodbridge VA 22192 |
| Practice Telephone | 7037302931 |
| Practice Fax Number | 7037302484 |
| Mailing Telephone | 7037302931 |
| Mailing Fax Number | 7037302484 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7559 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS | 276957 | 01 | |
| UNITED CONCORDIA | 755992 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083463 | John Nelson | Marriage & Family Therapist | 4625 Mountain Lakes Blvd, Redding, CA 96003-1450 | 2020-11-08 |
| 1871081968 | John Edward Nelson | Internal Medicine | 1800 Calle De Vega, Las Vegas, NV 89102-4012 | 2018-04-25 |
| 1356706469 | John Christian Nelson | Ophthalmology | 3449 South 4155 West, Salt Lake City, UT 84109-2468 | 2015-12-17 |
| 1306216718 | John Marshall Nelson | Internal Medicine | 5803 31st Ct E # Stcte, Ellenton, FL 34222-4372 | 2015-09-28 |
| 1235556218 | John Nelson | Chiropractor | 115 S Palmetto Ave, Daytona Beach, FL 32114-4319 | 2014-03-27 |
| 1568885226 | John Nelson | Counselor | 7400 Merton Menter Blvd, San Antonio, TX 78229 | 2014-01-30 |
| 1336493626 | John James Nelson | Acupuncturist | 1911 Addison St Ste 201, Berkeley, CA 94704-1267 | 2012-11-08 |
| 1780942581 | John Darrell Nelson | Internal Medicine | 1001 Dobbins Rd, Corsicana, TX 75110-2217 | 2012-04-30 |
| 1831335645 | John A Nelson | Dentist | 3915 Biscayne Blvd Ste 306, Miami, FL 33137-3730 | 2008-12-29 |
| 1073776787 | John Clark Nelson | Obstetrics & Gynecology | 330 Paradiso Ln, Centerville, UT 84014-2826 | 2008-07-03 |
| Street Address |
3166 GOLANSKY BLVD SUITE 101 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699081893 | Serenity Home Healthcare, LLC | Home Health | 3166 Golansky Blvd, Suite 201, Woodbridge, VA 22192-4263 | 2010-08-25 |
| 1093838021 | Michael Ross Sternberg | Psychiatry & Neurology | 3166 Golansky Blvd, Suite 201, Woodbridge, VA 22192-4263 | 2007-04-06 |
| 1871622571 | Serenity Home Healthcare, LLC | Home Health | 3166 Golansky Blvd, Suite 201, Woodbridge, VA 22192-4263 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1538370556 | Richard George Tami | Dentist | 2200 Opitz Blvd Ste 205, Woodbridge, VA 22191-3343 | 2007-05-24 |
| 1144743709 | Woodbridge Periodontal & Implant Center Pllc | Dentist | 2200 Opitz Blvd Ste 205, Woodbridge, VA 22191-3343 | 2017-07-25 |
| 1588843452 | Richard G Tami Dds PC | Dentist | 2200 Opitz Blvd, Suite 205, Woodbridge, VA 22191 | 2007-10-29 |
| 1285795971 | Edwin N Galkin & James N Albani Dmd Pa | Dentist | 711 Amboy Ave, Woodbridge, NJ 07095 | 2006-12-13 |
| 1497816185 | Edwin N Galkin | Dentist | 711 Amboy Ave, Woodbridge, NJ 07095 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
| 1194258095 | Rashmi Ganesh | Dentist | 23371 Bymes Mill Ter, Ashburn, VA 20148-8112 | 2017-04-06 |
| Find all providers with the same taxonomy | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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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.