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BROCK T NELSEN DDS
NPI 1952831786
Dentist - General Practice in Sioux Falls, SD

Active since June 14, 2017Opted out of Medicare · through Nov 9, 2027
5121 S SOLBERG AVE #120, SIOUX FALLS, SD 57108(605) 339-2955 Get Directions Write a Review

NPPES record last updated: June 14, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brock T Nelsen Dds NPPES

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

BROCK T NELSEN DDS (NPI 1952831786) is an individual general practice provider in Sioux Falls, South Dakota, licensed in South Dakota (D1158) and active in the NPI registry since June 2017. He has opted out of Medicare through November 9, 2027.

NPPES Registry Identity

NPI1952831786
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBROCK T NELSENCredential: DDS
Location Address5121 S SOLBERG AVE #120Sioux Falls, SD 57108
Mailing Address46219 Pelican CvWentworth, SD 57075-7518
Phone(605) 339-2955
Sole ProprietorNo
Enumeration DateJune 14, 2017
✔ NPI 1952831786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SD · D1158
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.
5121 S SOLBERG AVE #120, Sioux Falls, SD 57108
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Brock T Nelsen Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 9, 2021 through November 9, 2027.

Opt-Out Effective DateNovember 9, 2021
Opt-Out In Effect ThroughNovember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Brock Nelsen's NPI number?

The NPI number for Brock Nelsen is 1952831786. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Brock Nelsen located?

Brock Nelsen practices at 5121 S Solberg Ave #120, Sioux Falls, SD 57108. The listed phone number is (605) 339-2955.

What is Brock Nelsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brock Nelsen enrolled in Medicare?

No. Brock Nelsen has opted out of Medicare through November 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Brock Nelsen was last updated on June 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.