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DR. JEREMY KIP NIELSON D.D.S.
NPI 1427378108
Dentist - Endodontics in Austin, TX

Active since June 04, 2010PECOS Enrolled
10123 LAKE CREEK PKWY, BUILDING 2, AUSTIN, TX 78729(512) 250-8101(512) 258-7154 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremy Kip Nielson D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY KIP NIELSON D.D.S. (NPI 1427378108) is an individual endodontics provider in Austin, Texas, licensed in Texas (25461) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427378108
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JEREMY KIP NIELSONCredential: D.D.S.
Location Address10123 LAKE CREEK PKWY, BUILDING 2Austin, TX 78729-1756
Mailing Address10123 Lake Creek Pkwy, Building 2Austin, TX 78729-1756 · (512) 250-8101 · Fax (512) 258-7154
Phone(512) 250-8101
Fax(512) 258-7154
Sole ProprietorNo
Enumeration DateJune 4, 2010
Last NPPES UpdateJanuary 3, 2014
✔ NPI 1427378108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in TX · 25461
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 25461 (TX)
10123 LAKE CREEK PKWY, Austin, TX 78729
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Other Names 1

Other Name (5)Dr. Kip Nielson D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeremy Kip Nielson D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78729 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT YOUNG FERGUSON JR. DDS PA
Dentist (General Practice)
10123 LAKE CREEK PKWY, BLDG 2
AUSTIN, TX 78729
Williamson County (512) 250-8101
J. KIP NIELSON DDS PLLC
Dentist
10123 LAKE CREEK PKWY, BLDG 2
AUSTIN, TX 78729
Williamson County (512) 250-8101
DR. JED CODY NIELSON DDS
Dentist (Endodontics)
10123 LAKE CREEK PKWY, BUILDING 2
AUSTIN, TX 78729
Williamson County (512) 250-8101
DR. KURT E. DELIUS D.D.S., M.S.
Dentist (Periodontics)
10123 LAKE CREEK PKWY, BUILDING 1
AUSTIN, TX 78729
Williamson County (512) 335-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Nielson's NPI number?

The NPI number for Jeremy Nielson is 1427378108. It was assigned to this individual provider in the NPPES registry on June 4, 2010. The provider is also known as Dr. Kip Nielson D.D.S..

Where is Jeremy Nielson located?

Jeremy Nielson practices at 10123 Lake Creek Pkwy Building 2, Austin, TX 78729. The listed phone number is (512) 250-8101.

What is Jeremy Nielson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Jeremy Nielson enrolled in Medicare?

Yes. Jeremy Nielson is registered in the Medicare PECOS enrollment system.

What insurance does Jeremy Nielson accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jeremy Nielson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Nielson was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.