KEITH T NELSON (NPI# 1912149410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912149410 |
| Entity Type | Individual |
| Full Name | KEITH T NELSON |
| Credential | DDS |
| Practice Address |
3031 Telegraph Ave Ste 234 Berkeley CA 94705-2051 |
| Practice Telephone | 5105489114 |
| Practice Fax Number | 5105488046 |
| Mailing Telephone | 5105489114 |
| Mailing Fax Number | 5105488046 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 28772 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538312285 | Keith A Nelson Sr. | Contractor | 2220 Irvington, Toledo, OH 43606 | 2008-10-28 |
| 1467630459 | Keith Alan Nelson | Pharmacist | 626 Gray Fox Rd, Blue Eye, MO 65611-8149 | 2008-02-01 |
| 1275601395 | Keith Victor Nelson | Dentist | 6183 S Prairie View Dr, Suite 101, Salt Lake City, UT 84129-3203 | 2006-11-30 |
| 1942375282 | Keith Nelson | Chiropractor | 58 Broadway, Greenlawn, NY 11740-1303 | 2006-11-22 |
| 1629163001 | Keith H Nelson | Podiatrist | 324 Post Ave Apt 12k, Westbury, NY 11590-2250 | 2006-10-03 |
| 1225347792 | Keith Allen Nelson | Nurse Anesthetist, Certified Registered | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2010-10-01 |
| 1215179676 | Keith D. Nelson | Counselor | 500 8th Ave, Terre Haute, IN 47804-4072 | 2009-04-01 |
| 1023120086 | Keith Nelson | Social Worker | 150 Kingwood Ave Nw, Salem, OR 97304-4030 | 2006-08-31 |
| 1811001167 | Keith G Nelson | Family Medicine | 463 E Circle Dr, East Lansing, MI 48824-7500 | 2006-08-17 |
| 1245229954 | Keith J Nelson | Orthopaedic Surgery | 2310 N 400 E, Ste A, Logan, UT 84341-1788 | 2005-10-14 |
| Street Address |
3031 TELEGRAPH AVE STE 234 |
| City | BERKELEY |
| State | CA |
| Zip Code | 94705-2051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025051 | Peter Freedman | Psychiatry & Neurology | 3031 Telegraph Ave, 103, Berkeley, CA 94705-2051 | 2005-07-07 |
| 1235749995 | California Coalition for Harm Reduction | Clinic/Center | 3031 Telegraph Ave, Berkeley, CA 94705-2051 | 2020-08-06 |
| 1518272574 | Steven Chan Allan Hsu Dds, Inc | Dentist | 3031 Telegraph Ave, Ste #136, Berkeley, CA 94705-2051 | 2010-08-16 |
| 1235363086 | Jean Iams | Massage Therapist | 3031 Telegraph Ave, Berkeley, CA 94705-2051 | 2009-05-07 |
| 1952541260 | Musculoskeletal Physical Therapy Inc. | Clinic/Center | 3031 Telegraph Ave, Ste 131, Berkeley, CA 94705-2051 | 2009-02-26 |
| 1295943587 | Ellen Bier Physical Therapy | Clinic/Center | 3031 Telegraph Ave, Ste 131, Berkeley, CA 94705-2051 | 2007-05-18 |
| 1629281233 | Tonrai Kormi | Plastic Surgery | 3031 Telegraph Ave, Suite 217, Berkeley, CA 94705-2053 | 2007-05-08 |
| 1326176140 | Alyosha Zim | Psychiatry & Neurology | 3031 Telegraph Ave, #143, Berkeley, CA 94705-2051 | 2007-03-01 |
| 1184762643 | Keith T. Nelson, Dds Inc | Dentist | 3031 Telegraph Ave, Suite 234, Berkeley, CA 94705-2051 | 2007-02-04 |
| 1245384312 | Qualium Corp. | Clinic/Center | 3031 Telegraph Ave, Suite 100, Berkeley, CA 94705-2051 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1396253803 | David R Shaddock | Marriage & Family Therapist | 3030 Ashby Avenue, # 105, Berkeley, CA 94705 | 2018-01-18 |
| 1821504432 | Allegra Tringali | Physical Therapist | 2450 Ashby Ave Fl 6, Berkeley, CA 94705 | 2017-12-19 |
| 1659898740 | Hunter Brown | Student in an Organized Health Care Education/Training Program | Wright Institute Clinical Services 1918 University Ave, Suite 2b, Berkeley, CA 94705 | 2017-08-29 |
| 1588014534 | Heather Valdez | Social Worker | 2185 Ashby Ave, Berkeley, CA 94705 | 2016-06-20 |
| 1215350145 | S.e.e.d.s. (social and Emotional Education Development and Support) | Community/Behavioral Health | 3120 Telegraph Avenue Ste 9, Berkeley, CA 94705 | 2014-01-29 |
| 1144580960 | Benjamin Tucker | Counselor | 2625 Alcatraz Ave Ste 609, Berkeley, CA 94705 | 2012-05-26 |
| 1881966141 | Jennifer Cowherd | Behavioral Analyst | 2201 Woolsey St, Berkeley, CA 94705 | 2012-02-02 |
| 1518255892 | Erika D Huguenard | Counselor | 2811a College Avenue, Berkeley, CA 94705 | 2011-07-20 |
| Find all providers in zip 94705 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568027183 | Leila Pakravan | Dentist | 2136 University Ave, Berkeley, CA 94704-1026 | 2019-05-08 |
| 1467921288 | Ethan Do | Dentist | 3017 Telegraph Ave Ste 310, Berkeley, CA 94705-2049 | 2018-11-21 |
| 1497112338 | Theodore Robert Small | Dentist | 1301 Bonita Ave Apt 4, Berkeley, CA 94709-1983 | 2016-01-22 |
| 1962817882 | Ian Iwane Dds | Dentist | 1536 Blake St, None, Berkeley, CA 94703-1806 | 2014-06-30 |
| 1932549235 | Erwin Yeh | Dentist | 1502 Walnut St Ste D, Berkeley, CA 94709-1563 | 2013-07-01 |
| 1144663766 | Alicia Applin | Dentist | 2812 Piedmont Ave, Berkeley, CA 94705-2314 | 2013-04-12 |
| 1588969919 | Martin L Goldman | Dentist | 900 Colusa Ave Ste 205-a, Berkeley, CA 94707-2319 | 2011-01-15 |
| 1316256712 | Anthony Murray Dailley | Dentist | 2999 Regent St Ste 302, Berkeley, CA 94705-2118 | 2010-10-02 |
| 1912239567 | Lindsey Koida | Dentist | 909 University Ave., Berkeley, CA 94710 | 2010-02-08 |
| 1568690824 | Brian Marc Assael | Dentist | 2459a Ashby Ave, Berkeley, CA 94705 | 2009-06-25 |
| Find all providers in BERKELEY | ||||
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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.