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DR. R. BLAKE NIELSEN D.M.D
NPI 1619030095
Dentist - Endodontics in Salt Lake City, UT

Active since December 18, 2006
1434 E 4500 S, SUITE #201, SALT LAKE CITY, UT 84117(801) 272-5800(801) 272-5897 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. R. Blake Nielsen D.m.d NPPES

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

DR. R. BLAKE NIELSEN D.M.D (NPI 1619030095) is an individual endodontics provider in Salt Lake City, Utah, licensed in Utah (90-0144898-9922) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1619030095
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. R. BLAKE NIELSENCredential: D.M.D
Location Address1434 E 4500 S, SUITE #201Salt Lake City, UT 84117-4250
Mailing Address1434 E 4500 S, Suite #201Salt Lake City, UT 84117-4250 · (801) 272-5800 · Fax (801) 272-5897
Phone(801) 272-5800
Fax(801) 272-5897
Sole ProprietorNo
Enumeration DateDecember 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619030095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in UT · 90-0144898-9922
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.
1434 E 4500 S, Salt Lake City, UT 84117
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Accepted Insurance

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

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.

DR. DAVID S CANNON DDS
Dentist
1434 E 4500 S, #202
HOLLADAY, UT 84117
Salt Lake County (801) 274-8889
RONDA H LUCEY N.P.
Nurse Practitioner
1434 E 4500 S, SUITE 102
SALT LAKE CITY, UT 84117
Salt Lake County (801) 272-6100
DR. BRIAN SCOTT GRONEMAN D.D.S.
Dentist (Endodontics)
1434 E 4500 S, SUITE #201
SALT LAKE CITY, UT 84117
Salt Lake County (801) 272-5800
DR. MATTHEW J PARKIN D.D.S.
Dentist (Endodontics)
1434 E 4500 S, SUITE # 201
SALT LAKE CITY, UT 84117
Salt Lake County (801) 272-5800

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 R. Nielsen's NPI number?

The NPI number for R. Nielsen is 1619030095. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is R. Nielsen located?

R. Nielsen practices at 1434 E 4500 S Suite #201, Salt Lake City, UT 84117. The listed phone number is (801) 272-5800.

What is R. Nielsen's specialty?

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

What insurance does R. Nielsen accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 7 other insurers list R. Nielsen 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 R. Nielsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.