Individual provider Active NPI

Nathan Nygard, DDS

  • General Practice Dentistry
  • West Fargo, ND
National Provider Identifier
1215318837
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2259 Issued in ND
Practice address
1918 9TH St E
West Fargo, ND 58078-8004
Phone
(701) 282-5930
Fax
(701) 282-0017
NPI assigned
Jun 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2259 ND Primary

Addresses

Primary practice location

1918 9TH St E
West Fargo, ND 58078-8004

Mailing address

1918 9TH St E
West Fargo, ND 58078-8004
Phone (701) 282-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621000369 ND Order and Referring Only - DentistPractitioner - Dentist 4385935469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2259NDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Nygard CurrentSince Aug 10, 2025 Accepting new patients
Richard L. Callender, DDS, PC General Practice Past Accepting new patients
Corwin Family Dentistry, PC General Practice Past Accepting new patients

Locations

1918 9th St E
West Fargo, ND 58078
Phone (701) 282-5930

Organizations & group practices 3

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": "1433894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1215318837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 9TH ST E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788004",
            "telephone_number": "701-282-5930",
            "fax_number": "701-282-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 9TH ST E",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580788004",
            "telephone_number": "701-282-5930",
            "fax_number": "701-282-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYGARD",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-10",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.