Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881988723 Individual Practitioner Female Practitioner

Dr. Shivan Elizabeth Nelson , DDS

Dentist • Maplewood, MN

Professional Overview & Biography Verified Profile Summary

Dr. Shivan Nelson, DDS is a registered healthcare professional specializing in Dentist in Maplewood, MN. Practice services are available at 1670 BEAM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1670 Beam Ave
# 204

Maplewood, MN 551091201

Telephone 6519258400
Associated Practice Facility / Clinic
🏢 Community Dental Care Inc Facility NPI 1235311614

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Maplewood, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
33 Specialists

Practicing in Maplewood, MN (1863 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MN D12967

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. Katelyn Frierott , DDS

Dentist - General Practice

NPI 1124609003

Doctor of Dental Surgery

NPI 1154682730

Doctor of Dental Surgery

Alicia Bibeau , LDH

Dental Hygienist

NPI 1285071795

Doctor of Dental Surgery

Dr. Xin Yu How , DDS

Dentist - General Practice

NPI 1316873581

Doctor of Dental Surgery

NPI 1386210540

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2011

Registered at 1670 BEAM AVE, # 204, MAPLEWOOD, MN 551091201 (Tel: 6519258400)

📍
Updated Business Mailing Address June 08, 2011

Registered at 1670 BEAM AVE, # 204, MAPLEWOOD, MN 551091201 (Tel: 6519258400)

👤
Provider Name / Credentials Updated June 08, 2011

Recorded as SHIVAN NELSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2011

Dentist (License #D12967 in MN)

🟢
Initial NPI Registration & Enumeration June 08, 2011

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: 1881988723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2011
Last Update: June 08, 2011
Sole Proprietor: No

Mailing Address

1670 Beam Ave, # 204

Maplewood, MN 551091201

Phone: 6519258400

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.