Brent E. Nelsen Dmd, LLC
Brent E. Nelsen Dmd, LLC is a healthcare organization registered as Dentist in Derby, KS, holding Type 2 (organization) NPI 1396149183 since 2014. The authorized official on file is Brent Nelsen, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396149183 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brent E. Nelsen Dmd, LLC |
| Practice address | 1120 N ROCK RD, Derby, KS, 67037 |
| Phone | 3167899999 |
| Fax | 3167899296 |
| Enumeration date | 2014-10-22 |
| Last updated in NPPES | 2014-10-22 |
Authorized official
| Name | Brent Nelsen |
|---|---|
| Title | Owner |
| Phone | 3167899999 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | 7193 | KS |
Copy-ready billing details
Provider: Brent E. Nelsen Dmd, LLC NPI: 1396149183 Taxonomy: 122300000X (Dentist) Address: 1120 N ROCK RD, Derby, KS, 67037
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134193345 | Brent Nelsen | Individual | General Practice Dentistry | Derby, KS |
| 1467612283 | Andrew Graff | Individual | General Practice Dentistry | Derby, KS |
| 1477237170 | Andreas Schmalz | Individual | General Practice Dentistry | Derby, KS |
Verify this record
Cross-check NPI 1396149183 against the authoritative CMS record: view Brent E. Nelsen Dmd, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Brent E. Nelsen Dmd, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-10-22.