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Deactivated NPI 1568684272 Deactivated / Inactive NPI Male Practitioner

Dr. Frederic Clyde Nelson , DDS

Dentist - General Practice • Schurz, NV

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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. Frederic Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 03, 2007
NPI Deactivation Date May 28, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Frederic Nelson, DDS was a registered Dentist - General Practice practicing in Schurz, NV. Throughout an active medical career spanning 19 years, Dr. Nelson provided care at the practice location at 1031 A HOSPITAL ROAD until profile deactivation on 2026-05-28.

Practice Location & Contact Primary Location

Practice Address

1031 A Hospital Road
Walker River Dental Clinic

Schurz, NV 89427

Telephone 6619047400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Schurz, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Schurz, NV (1127 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 CA 21177

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 28, 2026

Record deactivated on May 28, 2026

NPI Profile Active October 13, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 13, 2009

Registered at 1031 A HOSPITAL ROAD, WALKER RIVER DENTAL CLINIC, SCHURZ, NV 89427 (Tel: 6619047400)

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Updated Business Mailing Address October 13, 2009

Registered at 23910 VIA HAMACA, VALENCIA, CA 913552811 (Tel: 6619047400)

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Provider Name / Credentials Updated October 13, 2009

Recorded as FREDERIC NELSON, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2009

Dentist (License #21177 in CA)

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Initial NPI Registration & Enumeration May 03, 2007

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: 1568684272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2007
Last Update: October 13, 2009
Deactivation Date: May 28, 2026

Mailing Address

23910 Via Hamaca

Valencia, CA 913552811

Phone: 6619047400

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.