Dr. Kevin Mann Nelson
Dentist (General Practice)

Address: 350 W Woodrow Wilson Ave Ste 310, Jackson, MS 39213-7690
Phone: 6018151181

Dr. Kevin Mann Nelson (NPI# 1699978932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1699978932
Entity Type Individual
Full Name Dr. Kevin Mann Nelson
Credential DMD
Gender Male
Practice Address 350 W Woodrow Wilson Ave Ste 310
Jackson
MS 39213-7690
Practice Telephone 6018151181
Practice Fax Number 6018155306
Mailing Address 350 W Woodrow Wilson Ave Ste 310
Jackson
MS 39213-7690
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-06-06
Last Update Date 2015-04-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 1223G0001X Dentist · General Practice Dental Providers 318101 MS

Other Providers KEVIN NELSON

NPI Name Taxonomy Address Enumeration
1780191775 Kevin David Nelson Pharmacist 111 Redtail Ct Apt 308, Mankato, MN 56001 2017-12-29
1154552958 Kevin William Nelson Occupational Therapist 98 Forest Ave, West Caldwell, NJ 07006-7968 2009-07-29
1669601886 Kevin Ted Nelson Dentist 5952 Blackstone Way Ste 100, Nine Mile Falls, WA 99026-4900 2009-07-09
1699824045 Kevin Reed Nelson Optometrist 228 Bellows Avenue, Frankfort, MI 49635-2158 2007-01-08
1396810123 Kevin T. Nelson Dentist 1116 W Loucks Ave, Peoria, IL 61604-2677 2006-11-20
1356440283 Kevin Richard Nelson Chiropractor 309 N Labree, Thief River Falls, MN 56701-1912 2006-09-21
1316976814 Kevin F Nelson Physician Assistant 3237 Voyager Dr, Green Bay, WI 54311-8349 2006-06-30
1700857653 Kevin D Nelson Chiropractor 9075 Forsstrom Dr, Lonetree, CO 80124-6737 2006-01-30
1447725874 Kevin Carl Nelson Social Worker 115 A St, Framingham, MA 01701-4195 2018-10-12
1477009355 Kevin Nelson Physical Therapist 1480 Midway Ave, Ammon, ID 83406-4587 2016-08-30

Physician Overview

NPI 1699978932
PAC ID by PECOS 0143547786
Professional Enrollment ID I20150319002006
Full Name Kevin M Nelson
Organization Legal Name STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Gender M
Medical School UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
Graduation Year 2001
Primary Specialty ORAL SURGERY
Group Practice PAC ID 1850293036
Number of Group Practice Members 815
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250001 UNIVERSITY OF MISSISSIPPI MED CENTER

Office Location

Street Address 350 W WOODROW WILSON AVE STE 310
City JACKSON
State MS
Zip Code 39213-7690

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275057069 Nikita Patel Pharmacist 830 West Woodrow Wilson Avenue, Jackson, MS 39213 2017-08-02
1558895474 Tessie Renee Handy Physician Assistant 6501 Dogwood View Pkwy Ste A, Jackson, MS 39213 2017-04-18
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1730637521 Ms Eyecare Associates of Jackson, Pllc. Optometrist 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 2016-09-21
1518410778 Assurance Home Health Services, LLC Health Maintenance Organization 1771 Hamilton Blvd., Jackson, MS 39213 2016-07-25
1831576180 Dorothy Jeffries Anderson Counselor 350 Woodrow Wilson Ave, Jackson, MS 39213 2015-05-06
1740697275 Sincere Home Care LLC. Chore Provider 5911 Holmes Ct, Jackson, MS 39213 2014-07-16
1629401088 Deborah Diane Wright Assisted Living Facility 5911 Holmes Court, Jackson, MS 39213 2013-08-20
1245663251 Methodist Home Road Living Center Licensed Practical Nurse 4560 Methodist Home Road, Jackson, MS 39213 2013-08-13
1447690805 Asma Butt Pediatrics 3502 W Northside Dr., Jackson, MS 39213 2013-07-01
Find all providers in zip 39213

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720571334 Christina Holy Mcrae Dentist 3000 Old Canton Rd Ste 515, Jackson, MS 39216-4235 2018-06-08
1275024192 Brianne Elizabeth Mezo Dentist 1500 W Parnall Rd, Jackson, MI 49201-8660 2018-05-26
1407343254 West Tennessee Dentistry Pllc Dentist 1108 Whitehall St, Jackson, TN 38301-3730 2018-04-17
1073014338 Helping Hands of Middle & West Tennessee Dentist 1408 N Highland Ave Ste 101, Jackson, TN 38301-3450 2018-02-22
1942730429 Patrice Nicole Griffith Dentist 1189 E County Line Rd Ste 1010, Jackson, MS 39211-1836 2017-06-15
1346782893 Mississippi Smiles Dentistry LLC Dentist 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 2016-11-15
1871971697 Scott A Watterson Dds, Pllc Dentist 1030 Laurence Ave, Suite 3, Jackson, MI 49202 2015-05-13
1063805471 Naureen Nambala Ridge Dentist 9409 Nc Highway 305, Jackson, NC 27845-9679 2015-03-09
1821406570 South Jackson Family Dental, Pllc Dentist 5643 Highway 18 W, Suite G, Jackson, MS 39209-9529 2014-07-25
1861816670 Mid Town Dental Dentist 808 N State St, Suite A, Jackson, MS 39202-2602 2014-02-13
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39213

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Dataset Information

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.

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