Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1649791880 Deactivated / Inactive NPI Male Practitioner

Dr. Brett T Nelson , DDS

Dentist - General Practice • Broomfield, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brett Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2017
NPI Deactivation Date July 15, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Brett Nelson, DDS was a registered Dentist - General Practice practicing in Broomfield, CO. Throughout an active medical career spanning 2 years, Dr. Nelson provided care at the practice location at 340 EAST 1ST AVENUE until profile deactivation on 2019-07-15.

Practice Location & Contact Primary Location

Practice Address

340 East 1st Avenue
Suite 202

Broomfield, CO 80020

Telephone 3034664646
Associated Practice Facility / Clinic
🏢 Hani Michael Marogil Dmd Pc Facility NPI 1013308659

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Broomfield, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
33 Specialists

Practicing in Broomfield, CO (2613 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00203227

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
9000173385 (CO)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location July 31, 2019

Registered at 340 EAST 1ST AVENUE, SUITE 202, BROOMFIELD, CO 80020 (Tel: 3034664646)

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Updated Business Mailing Address July 31, 2019

Registered at 340 EAST 1ST AVENUE, SUITE 202, BROOMFIELD, CO 80020 (Tel: 3034664646)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2019

Dentist (License #DEN.00203227 in CO)

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NPI Profile Reactivated July 24, 2019

Record officially reactivated for active practice on July 24, 2019

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NPI Profile Deactivated July 15, 2019

Record deactivated on July 15, 2019

NPI Profile Active June 28, 2017

NPI status registered as active in NPPES database

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Updated Practice Location June 28, 2017

Registered at 214 5TH ST, WINDSOR, CO 805505109 (Tel: 9706865544)

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Updated Business Mailing Address June 28, 2017

Registered at 2800 ODELL DR, ERIE, CO 805167521 (Tel: 3034758157)

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Provider Name / Credentials Updated June 28, 2017

Recorded as BRETT NELSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2017

Dentist (License #DEN.000203227 in CO)

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Initial NPI Registration & Enumeration June 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649791880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2017
Last Update: July 31, 2019
Deactivation Date: July 15, 2019
Sole Proprietor: Yes

Mailing Address

340 East 1st Avenue, Suite 202

Broomfield, CO 80020

Phone: 3034664646

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.