IndividualActive
Douglas Nelson
NPI 1124333745 · Dentist · Airway Heights, WA
Provider details
- NPI number
- 1124333745
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4585 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11919 W. Sprague Ave
Airway Heights, WA 99001-1899
Phone: (509) 244-6840
Fax: (509) 244-6830
Street-level locationGet directions
Mailing address
P.o. Box 2302
Deer Park, WA 99006-2302
Registry dates
- Enumerated
- 2010-08-09
- Last updated
- 2010-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.