Individual provider Active NPI

Nathaniel Dean Shilman, O.D.

  • Optometrist
  • Dickinson, ND
National Provider Identifier
1275532467
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
624 Issued in ND
Practice address
2273 3Rd Ave W
Dickinson, ND 58601-2605
Phone
(701) 225-7886
Fax
(701) 225-8148
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 624 ND Primary

Addresses

Primary practice location

2273 3Rd Ave W
Dickinson, ND 58601-2605

Mailing address

2273 3Rd Ave W
Dickinson, ND 58601-2605
Phone (701) 225-7886

Other identifiers 1

IdentifierTypeStateIssuer
60600MedicaidND

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
I20050126000354 ND Practitioner - Optometry 8123077229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Melanie Oltmanns OD PCGroup PAC ID 7214987452, 2 clinicians

Practice addresses (Care Compare)

2273 3Rd Ave W
Dickinson, ND 58601-2605
Phone (701) 225-7886

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nateshilman@direct.revolutionehr.com

Organizations & group practices 1

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1275532467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2273 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012605",
            "telephone_number": "701-225-7886",
            "fax_number": "701-225-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2273 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012605",
            "telephone_number": "701-225-7886",
            "fax_number": "701-225-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILMAN",
        "first_name": "NATHANIEL",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60600",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.