P Praxis·MD
● Active Type 1 · Individual

Justin Ray Nelson, DMD

Dentist·Sandpoint, ID· NPI 1588230403 · Enumerated 2021 · 4 years on NPI
Nelson is 1 of 8 dentist providers in Sandpoint and 1 of 591 in Idaho.
NPI age
4 years
Enumerated 2021-06-01
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-10-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 591 active dentist providers in Idaho.

NPI age
4 years
↓ 12 yr below median (16 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-06Enumerated in NPPES
2021 2026

Where they practice

Practice location
103 W Superior St
Sandpoint, ID 838641601
📞 2082638514
Mailing address
103 W Superior St
Sandpoint, ID 838641601
📞 2082638514fax 2088442962

Additional practice locations

1 secondary location on file with NPPES.

Location 2
203 E Dalke Ave
Spokane, WA 992088112
📞 5094448888

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    ID license #D-5579WA license #DE61164746 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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