Doctor profile · Federal record
Dr. Jacy Nelson, D.D.S.
General Practice Dentistry · Renton, WA
- NPI 1225015977
- 21 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
14300 Se Petrovitsky RD
Renton, WA 980588955
(253) 852-0206
fax (253) 852-6351
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- March 18, 2026
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Washington #DE00009342
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1225015977. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,001
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Patterson Companies, INC. | 1 | $750.00 | |
| Dentsply Sirona INC | 4 | $251.14 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
72
Patients
60
Total drug cost
$306
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 34 | 31 | $106 |
| Azithromycin | Generic | 21 | 15 | $116 |
| Chlorhexidine Gluconate | Generic | 17 | 14 | $85 |
Frequently asked questions
What is Dr. Jacy Nelson's medical specialty?
Dr. Jacy Nelson practices General Practice Dentistry in Renton, WA.
Where does Dr. Jacy Nelson practice?
Dr. Jacy Nelson practices at 14300 Se Petrovitsky RD, Renton, WA 980588955. Office phone: 2538520206.
What is Dr. Jacy Nelson's NPI?
Dr. Jacy Nelson's National Provider Identifier (NPI) is 1225015977, issued by NPPES.