DR. TYLER E NELSON (NPI# 1790093599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790093599 |
| Entity Type | Individual |
| Full Name | DR. TYLER E NELSON |
| Credential | D.D.S. |
| Practice Address |
1411 E 31st St Department of Oral and Maxillofacial Surgery Oakland CA 94602-1018 |
| Mailing Address |
5450 De Marcus Blvd #314 Dublin CA 94568-7642 |
| Practice Telephone | 5104378524 |
| Mailing Telephone | 4152504529 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
56011 | 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 |
| 1184860561 | Tyler Elliott Nelson | Dentist | 2801 Waterman Blvd Ste 240, Fairfield, CA 94534-2987 | 2009-01-06 |
| 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 |
| 1477860385 | Tyler Scott Nelson | Physician Assistant | 50 N Medical Dr, Salt Lake City, UT 84132-1100 | 2010-09-13 |
| Street Address |
1411 E 31ST ST DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94602-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733135 | Andrea Elizabeth Williams | Family Medicine | 1411 E 31st St, Oakland, CA 94602-1018 | 2005-10-06 |
| 1972101186 | Jennifer Pham | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-12 |
| 1922606276 | Monica Mofidi | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-10-09 |
| 1639785223 | Mercedeh Nicole Vaez | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-09-18 |
| 1962015701 | Egbe Iyabo Omoregie | Nurse Practitioner | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-30 |
| 1275146672 | Jessica Labioda Sohn | Social Worker | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-25 |
| 1760093462 | Himalina Rajanakhan | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1092 | 2020-08-14 |
| 1316558018 | Lisa De La Cruz | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-14 |
| 1396356762 | Jermaine Robertson | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-11 |
| 1700496437 | Kathleen Puanani Hennessy | Pharmacist | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184144248 | Brian Goo | Dentist | 1411 E 31st St # E2, Oakland, CA 94602-1018 | 2017-06-21 |
| 1154611390 | Alex R Mcdonald | Dentist | 3300 Webster St., 810, Oakland, CA 94609-3117 | 2011-04-08 |
| 1154558989 | Erica Lynn Shook | Dentist | 3600 Broadway Ste 41, Oakland, CA 94611-5730 | 2009-06-19 |
| 1265562466 | Theodore Ng | Dentist | 1814 Franklin St Ste 100, Oakland, CA 94612-3439 | 2007-03-06 |
| 1710027917 | Larry Victor Franz | Dentist | 1624 Franklin Street, Suite 810, Oakland, CA 94612-2823 | 2007-02-07 |
| 1225191042 | William Raymond Murphy Sr. | Dentist | 560 29th St, Oakland, CA 94609-3513 | 2006-12-19 |
| 1215998315 | Anup Muduli | Dentist | 180 Ramapo Valley Rd, Oakland, NJ 07436-2524 | 2006-03-29 |
| 1740821396 | Sean T Lee | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-10-04 |
| 1568024115 | Kristin Lauren Lee | Dentist | Highland Hospital, 1411 E 31st St., Oakland, CA 94602 | 2019-07-03 |
| 1083177257 | Andrew Rich | Dentist | 1411 E 31st St, Oakland, CA 94602-1018 | 2019-04-12 |
| Find all providers in OAKLAND | ||||
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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.