OrganizationActive
Jacy C Nelson D.D.S., P.s.
NPI 1154878668 · Dentist · Renton, WA
Jacy C Nelson D.D.S., P.s. is a Dentist organization in Renton, WA (NPI 1154878668).
Provider details
- NPI number
- 1154878668
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jacy Nelson, Owner(253) 852-0206
- License
- DE9342 (WA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
14300 Se Petrovitsky Rd
Renton, WA 98058-8955
Phone: (253) 852-0202
Fax: (253) 852-5361
Street-level locationGet directions
Mailing address
14300 Se Petrovitsky Rd
Renton, WA 98058-8955
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2026-05-11
- Certified
- 2026-05-11
Frequently asked questions
- What is Jacy C Nelson D.D.S., P.s.'s NPI number?
- Jacy C Nelson D.D.S., P.s.'s National Provider Identifier (NPI) is 1154878668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacy C Nelson D.D.S., P.s.?
- Jacy C Nelson D.D.S., P.s. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jacy C Nelson D.D.S., P.s. located?
- Jacy C Nelson D.D.S., P.s.'s practice location on file with NPPES is 14300 Se Petrovitsky Rd, Renton, WA 98058-8955.
- What is Jacy C Nelson D.D.S., P.s.'s phone number?
- The practice phone number listed in the NPPES registry for Jacy C Nelson D.D.S., P.s. is (253) 852-0202.
- Who is the authorized official for Jacy C Nelson D.D.S., P.s.?
- The authorized official listed on Jacy C Nelson D.D.S., P.s.'s NPPES record is Jacy Nelson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacy C Nelson D.D.S., P.s.'s NPI active?
- Yes — Jacy C Nelson D.D.S., P.s.'s NPI (1154878668) is active in the NPPES registry as of the last update on 2026-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.