Jonathan P. Nash, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

D12926 Issued in MN

Practice address

2860 Piedmont Ave
Duluth, MN 55811-2938

Phone

(218) 722-0823

Fax

(218) 722-7635

NPI assigned

Jun 3, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Oral and Maxillofacial Surgical Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Virginia, MN
  • NPI 1417042367
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1013201300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 PIEDMONT AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112938",
            "telephone_number": "218-722-0823",
            "fax_number": "218-722-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 PIEDMONT AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112938",
            "telephone_number": "218-722-0823",
            "fax_number": "218-722-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "JONATHAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annagloria Mwamasika
• Jackie Lynn Myers
• Yvonne Myers
• Melissa Marie Najarian
• Francis Nash, RPH
• Leslee Suzanne Naslund
• Natalie Peterson DDS Family Dentistry LLC
• Nathan G Halstead DDS Ms PC
• National Vision Inc
• Naturally Chiropractic, P.a.

• Dentist in Duluth, MN
• Providers in Duluth, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.