MR. DAVID LAMONT NIELSON DPM NPI 1053503961

NPI Information

  • NPI: 1053503961
  • Provider Name: MR. DAVID LAMONT NIELSON, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 222 WALNUT AVE SW
    ROANOKE, VA
    ZIP 24016
  • Phone: (540) 344-3668

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NPI Details

MR. David Lamont Nielson, DPM is a foot and ankle surgery podiatrist in Roanoke, VA with 22 years of experience. MR. David Lamont Nielson, DPM NPI is 1053503961. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2004

The provider's business location address is:

222 WALNUT AVE SW
ROANOKE, VA
ZIP 24016-723
Phone: (540) 344-3668
Fax: (540) 769-6381

The NPI 1053503961 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/14/2007 and was last updated on 11/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery0103300976VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00632266MEDICARE PINVIRGINIA
21053503961MEDICAIDVIRGINIA
35715980001MEDICARE NSCVIRGINIA
4017444F35MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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