DR. JED CODY NIELSON DDS NPI 1598929143

NPI Information

  • NPI: 1598929143
  • Provider Name: DR. JED CODY NIELSON, DDS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10123 LAKE CREEK PKWY
    BUILDING 2
    AUSTIN, TX
    ZIP 78729
  • Phone: (512) 250-8101

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NPI Details

DR. Jed Cody Nielson, DDS is an endodontics dentist in Austin, TX. The provider is 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. DR. Jed Cody Nielson, DDS NPI is 1598929143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10123 LAKE CREEK PKWY
BUILDING 2
AUSTIN, TX
ZIP 78729-756
Phone: (512) 250-8101
Fax: (512) 258-7154

The NPI 1598929143 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 7/14/2008 and was last updated on 1/7/2014.

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
11223G0001XDentistGeneral Practice7543ARIZONANo
21223G0001XDentistGeneral Practice29379TEXASNo
31223E0200XDentistEndodontics29379TEXASYes

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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