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DR. GARY RANDALL NELSON D.D.S.
NPI 1598746687
Dentist - Pediatric Dentistry in Portland, OR

Active since November 07, 2005
2730 SW MOODY AVE, PORTLAND, OR 97201(503) 346-4708 Get Directions Write a Review

NPPES record last updated: July 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gary Randall Nelson D.d.s. NPPES

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

DR. GARY RANDALL NELSON D.D.S. (NPI 1598746687) is an individual pediatric dentistry provider in Portland, Oregon, licensed in Oregon (D9864) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1598746687
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. GARY RANDALL NELSONCredential: D.D.S.
Location Address2730 SW MOODY AVEPortland, OR 97201-5042
Mailing Address2730 Sw Moody AvePortland, OR 97201-5042 · (503) 346-4708
Phone(503) 346-4708
Sole ProprietorNo
Enumeration DateNovember 7, 2005
Last NPPES UpdateJuly 22, 2014
✔ NPI 1598746687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in OR · D9864✔ Licensed in CA · 27908
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2730 SW MOODY AVE, Portland, OR 97201
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Other Identifiers 1

Medicare PINI21506

Other Providers at the Same Location NPPES 20

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

MR. ALVIN ASHNEEL PRASAD PA-C
Physician Assistant (Medical)
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-3633
MS. SARAH NICOLETTE BROWN M.D. EXPECTED 2018
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVE, CL5MD
PORTLAND, OR 97201
Multnomah County (503) 494-8428
JOSEPH VINCENT CALIFANO DDS, PHD
Dentist (Periodontics)
2730 SW MOODY AVE, MAIL CODE SD-PERI
PORTLAND, OR 97201
Multnomah County (503) 346-4772
DR. LYNN CARMAN WHITLEY DMD
Dentist
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 494-1607
DR. BRIAN WHITTEN DDS
Dentist (Endodontics)
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 418-1669
YVES GACINYA
Student in an Organized Health Care Education/Training Program
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 568-6164
DR. WILLIAM MOORE D.M.D.
Dentist (Pediatric Dentistry)
2730 SW MOODY AVE, SCHOOL OF DENTISTRY
PORTLAND, OR 97201
Multnomah County (503) 418-4333
OSA
Durable Medical Equipment & Medical Supplies
2730 SW MOODY AVE
PORTLAND, OR 97201
Multnomah County (503) 860-0150

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 Gary Nelson's NPI number?

The NPI number for Gary Nelson is 1598746687. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Gary Nelson located?

Gary Nelson practices at 2730 SW Moody Ave, Portland, OR 97201. The listed phone number is (503) 346-4708.

What is Gary Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Gary Nelson was last updated on July 22, 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.