Nathan Karl Methvin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4471 Issued in TN

Practice address

2441 21St Street
USA Dentac
Ft Campbell, KY 42223-5369

Phone

(270) 798-8614

Fax

(270) 798-8633

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1124092564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 21ST STREET",
            "address_2": "USA DENTAC",
            "city": "FT CAMPBELL",
            "state": "KY",
            "postal_code": "422235369",
            "telephone_number": "270-798-8614",
            "fax_number": "270-798-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 21ST STREET",
            "address_2": "USA DENTAC",
            "city": "FT CAMPBELL",
            "state": "KY",
            "postal_code": "422235369",
            "telephone_number": "270-798-8614",
            "fax_number": "270-798-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHVIN",
        "first_name": "NATHAN",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "4471",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Paul Mergener, OD
• Kaylee Michelle Mergener, OD
• Richard Wayne Merryman, CRNA
• David Messmer, LPN
• Sue Carol Metcalfe, LPN
• Savanah Lee Mickey, LAT, ATC
• Peter Alan Middleton, M.D.
• Ronald Lee Milam Jr., CRNA
• Jeffrey Michael Milch, D.O.
• Sharonda Denobia Millender, LPN

• General Practice Dentistry in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.