Nathan Sethman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

T-7322 Issued in OK

Practice address

1410 N Louis Tittle Ave
Mangum, OK 73554-2218

Phone

(580) 782-5513

NPI assigned

Jun 18, 2020

Last updated

Jun 18, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 7, 2023 through Mar 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Altus Mangum Dental PLLC

  dba AM Dental

  • General Practice Dentistry
  • Altus, OK
  • NPI 1043816671
  NPD Authorized official
• Altus Mangum Dental PLLC

  dba AM Dental

  • Dental Clinic/Center
  • Mangum, OK
  • NPI 1720685324
  NPD Authorized official

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1053937854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N LOUIS TITTLE AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735542218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N LOUIS TITTLE AVE",
            "city": "MANGUM",
            "state": "OK",
            "postal_code": "735542218",
            "telephone_number": "580-782-5513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "907 Falcon Rd",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735212833",
            "country_code": "US",
            "telephone_number": "580-482-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETHMAN",
        "first_name": "NATHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "T-7322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puckett Food Stores Inc (Puckett Discount Drug)
• Quartz Mountian Medical Center
• Anneliese Rogers
• Loriann Sanchez, BSW
• Chad Everett Scoggins
• Pamela Beth Sherrill, M.ED.
• Ashley Brooke Slaton, APRN-CNP
• Christian Smith
• Shelly Smith
• Frank M Talley, M.ED L.A.DC

• General Practice Dentistry in Mangum, OK
• Providers in Mangum, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.