Individual provider Active NPI

Bernard Boris Natkin, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellaire, TX
National Provider Identifier
1124138177
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7527 Issued in TX
Practice address
5959 West Loop S Ste 620
Bellaire, TX 77401-2420
Phone
(713) 981-0000
Fax
(713) 665-8885
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 7527 TX Primary

Addresses

Primary practice location

5959 West Loop S Ste 620
Bellaire, TX 77401-2420

Mailing address

5959 West Loop S Ste 620
Bellaire, TX 77401-2420
Phone (713) 981-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7527TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chad R. Seabold, DDS, MD, PA Oral & Maxillofacial Surgery Past Accepting new patients
Bernard B. Natkin, D.M.D. Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1124138177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 WEST LOOP S STE 620",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012420",
            "telephone_number": "713-981-0000",
            "fax_number": "713-665-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 WEST LOOP S STE 620",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012420",
            "telephone_number": "713-981-0000",
            "fax_number": "713-665-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATKIN",
        "first_name": "BERNARD",
        "middle_name": "BORIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "7527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.