Nathaniel W Flook, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS036121 Issued in PA

Practice address

105 W 9TH St
Berwick, PA 18603-3024

Phone

(570) 752-4542

Fax

(570) 752-6806

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By 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

Other identifiers 1

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 May 7, 2015 through May 7, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Berwick Dental Arts Inc

  • General Practice Dentistry
  • Berwick, PA
  • NPI 1104906650
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215018288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 HEIGHTS RD",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186031311",
            "telephone_number": "570-759-0145",
            "fax_number": "570-752-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 9TH ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186033024",
            "telephone_number": "570-752-4542",
            "fax_number": "570-752-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOOK",
        "first_name": "NATHANIEL",
        "middle_name": "W",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009766460002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Excursion Counseling
• Eye Care Specialists, P.C.
• Tamer Mohamed Fathy, MD
• Amanda Knox Fierro, PHARMD
• Jennifer Lynn Fisher, PHARMD
• William Ray Flook, DC
• Kenneth R Foster Jr., DMD
• Frank Giugliano MD PC
• Shannon Franklin, OTRL
• Toni Frey

• General Practice Dentistry in Berwick, PA
• Providers in Berwick, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.