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Dr. Damien William Nelson , DDS

Dentist - General Practice β€’ Lackland Afb, TX

Active NPI 1659965770 Individual Practitioner Male Practitioner
Practice location in NPPES

2133 Pepperrell St Bldg 3352
Lackland Afb, TX 782365313

Call 2102926258 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2133 Pepperrell St Bldg 3352

Lackland Afb, TX 782365313

Telephone 2102926258

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lackland Afb and Texas

5 active clinicians are listed under Dentist - General Practice with a practice address in Lackland Afb, TX (10,075 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES WI 1002658-15

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1043624695

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 14, 2025

Registered at 2133 PEPPERRELL ST BLDG 3352, LACKLAND AFB, TX 782365313 (Tel: 2102926258)

πŸ“
Updated Practice Location August 26, 2022

Registered at 220 FALCON PKWY, SCHRIEVER AFB, CO 809125005 (Tel: 7195675065)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2022

Dentist (license number reported to NPPES: WI 1002658-15)

βœ…
NPI Profile Active March 01, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 01, 2021

Registered at 151 BODIN CIR BLDG 775, TRAVIS AFB, CA 945351801 (Tel: 7074237008)

πŸ“
Business Mailing Address (Initial Record) March 01, 2021

Registered at 28130 N DARRELL RD, WAUCONDA, IL 600849723 (Tel: 7736150133)

πŸ‘€
Provider Name / Credentials (Initial Record) March 01, 2021

Recorded as DAMIEN NELSON, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 01, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1659965770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2021
Last Update: July 14, 2025
Sole Proprietor: Yes

Mailing Address

28130 N Darrell Rd

Wauconda, IL 600849723

Phone: 7736150133

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.