Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Aaron Nelson, DDS

Individual provider Dentist · NPI 1619942083

Dr. Shane Aaron Nelson, DDS is a Dentist in Overland Park, Kansas. Practices as a sole proprietor. Licensed in Florida, Kansas and Missouri.

Licensed in
FL, KS, MO
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7001 W 121st St
Overland Park, KS 66209-2009
Phone: (913) 313-8428
Fax: (913) 906-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 7117 (KS)
Dentist Taxonomy 122300000X · Licence DN19850 (FL)
Dentist Taxonomy 122300000X · Licence 2016000952 (MO)

Record details

NPI number1619942083
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedFebruary 21, 2006
Last updated in NPPESJuly 9, 2020
Certification dateJuly 9, 2020
Mailing address14973 Outlook Ln, Overland Park, KS 66223-2931

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