Nathan Ray Kartchner, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

12164516-9921 Issued in UT

Practice address

9269 S Redwood Rd
West Jordan, UT 84088-6572

Phone

(801) 566-4153

NPI assigned

Jun 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1316561244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9269 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886572",
            "telephone_number": "801-566-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9269 S REDWOOD RD",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886572",
            "telephone_number": "801-566-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Holliday Dr",
            "address_purpose": "LOCATION",
            "city": "Dubuque",
            "state": "IA",
            "postal_code": "520020415",
            "country_code": "US",
            "telephone_number": "563-588-2585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1040 Everett Ave Apt 1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041282",
            "country_code": "US",
            "telephone_number": "801-718-7056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARTCHNER",
        "first_name": "NATHAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09752",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "12164516-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Justiniano
• Eivy Kakunes
• Ashley Dean Kammerman, COTA/L
• Mwajauma Kanyare
• Irene Karren
• Barbara J Kase, PT
• Kathleen K Boynton MD PC
• Katon Marie Abnar Behbahani
• Amanda Kaup, MA, BCBA
• Bridget Kay Kauppila, PT

• Dentist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.