Nathan Michael Deeter, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2013 Issued in ND

Practice address

1003 Gateway Ave
Bismarck, ND 58503-0508

Phone

(701) 222-1800

NPI assigned

May 15, 2007

Last updated

Jul 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184976000000",
    "number": "1205042439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 GRIMSRUD DR",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585011316",
            "telephone_number": "701-371-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GATEWAY AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030508",
            "telephone_number": "701-222-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETER",
        "first_name": "NATHAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Waylon Decoteau, MD
• Michele Ann Dees, PT
• Deeter & Deeter Dentistry Partnership (Deeter Dental)
• Lucas Charles Deeter, DDS
• Matthew K Deeter, DDS
• Terry C Deeter, DDS
• Craig Degree, PHD
• Dei Optical Company
• Anessa Deibert, OTD, OTR/L
• Vanessa Lyn Deibert

• General Practice Dentistry in Bismarck, ND
• Providers in Bismarck, ND by specialty
• General Practice Dentistry in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.