Active NPI
Nathan Loughridge, DDS, MS
- Periodontics
- Mason, OH
National Provider Identifier
1184277402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 30.026767
- Practice address
- 5138 Cedar Village Dr
Mason, OH 45040-3717 - Phone
- (513) 336-8100
- NPI assigned
- Jul 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | ETN699 | TX | |
| Periodontics | 1223P0300X | 30.026767 | OH | Primary |
Addresses
Primary practice location
5138 Cedar Village Dr
Mason, OH 45040-3717
Mailing address
1602 Amberley CT
Xenia, OH 45385-2696
Phone (937) 522-5138
Other practice location 1
8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone (210) 567-3604
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ETN699 | TX | MD | Dentist |
| 30.026767 | OH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1184277402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 AMBERLEY CT",
"city": "XENIA",
"state": "OH",
"postal_code": "453852696",
"telephone_number": "937-522-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5138 CEDAR VILLAGE DR",
"city": "MASON",
"state": "OH",
"postal_code": "450403717",
"telephone_number": "513-336-8100"
}
],
"practiceLocations": [
{
"address_1": "8210 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293923",
"country_code": "US",
"telephone_number": "210-567-3604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUGHRIDGE",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-17",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "ETN699",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "30.026767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.