DR. RICHARD ROE NELSON (NPI# 1902188824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902188824 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ROE NELSON |
| Credential | D.M.D. |
| Practice Address |
24105 184th Ave Se Covington WA 98042-4896 |
| Practice Telephone | 4254336221 |
| Mailing Telephone | 4254336221 |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
00004238 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443591 | Richard Nelson | Counselor | 3641 Brumbaugh Blvd, Trotwood, OH 45416-1326 | 2018-04-05 |
| 1376047381 | Richard Lawrence Nelson | Surgery | 1603 W. Taylor St., Room 983, Chicago, IL 60612-4394 | 2018-03-23 |
| 1750880670 | Richard Nelson Jr. | Driver | 6239 Edgewater Dr Ste 2, Orlando, FL 32810-4736 | 2018-02-06 |
| 1235477381 | Richard Arthur Nelson | Psychiatry & Neurology | 6 Hathaway Cres, Sugar Grove, IL 60554-4137 | 2013-01-24 |
| 1316105000 | Richard John Nelson | Internal Medicine | 1404 Canterbury Dr, Salt Lake City, UT 84108-2831 | 2008-05-29 |
| 1942494968 | Richard Gary Nelson | Counselor | 963 Wolf Creek Dr, Longmont, CO 80501-8731 | 2007-09-03 |
| 1871783886 | Richard T Nelson IIi | Dentist | 7878 Jefferson Paige Rd, Shreveport, LA 71119-8865 | 2007-07-26 |
| 1255541843 | Richard T Nelson | Internal Medicine | 2535 Maplecrest Rd Ste 10, Bettendorf, IA 52722-2799 | 2007-05-23 |
| 1205965845 | Richard Loren Nelson | Pharmacist | 2010 Yakima Valley Hwy Ste C1, Sunnyside, WA 98944-1289 | 2007-03-02 |
| 1912085192 | Richard A. Nelson | Anesthesiology | 6111 Kingbird Manor Dr, Lithia, FL 33547-5051 | 2006-11-02 |
| Street Address |
24105 184TH AVE SE |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| 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 |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1790252138 | John Michael Freihaut | Dentist | 4139 Baker St Ne Ste 15, Covington, GA 30014-1409 | 2018-10-24 |
| 1770078503 | Michael Benjamin Hampton | Dentist | 9164 Dr M L King Jr Ave, Covington, GA 30014-8710 | 2018-06-25 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1194100016 | Kelsey M Thompson | Dentist | 720 W Sherrod Ave, Covington, TN 38019-3024 | 2015-07-21 |
| 1205264330 | Bright Smile Dental Clinic LLC | Dentist | 229 N Monroe Ave, Covington, VA 24426-1409 | 2013-10-29 |
| 1376831073 | Reese Family Dentistry | Dentist | 973 Highway 51 N, Suite 7, Covington, TN 38019-1594 | 2011-07-14 |
| 1588951412 | Northwest Family Dental Care Covington, Pllc | Dentist | 27081 185th Ave Se # B-105, Covington, WA 98042-8448 | 2011-06-29 |
| 1104146208 | Jenna Warlick Graham | Dentist | 1005 Avenue Saint Germain, Covington, LA 70433-6440 | 2010-06-11 |
| 1568624203 | James I Gilbert IIi Dds Inc | Dentist | 229 N Monroe Avenue, Covington, VA 24426 | 2008-06-25 |
| Find all providers in COVINGTON | ||||
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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.