Nathalia Diaz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D15455 Issued in MN

Practice address

3790 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2629

Phone

(763) 341-9285

NPI assigned

May 27, 2026

Last updated

May 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1779840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1346171337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13102 ISETTA CIR NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554497563",
            "telephone_number": "403-669-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332629",
            "telephone_number": "763-341-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "NATHALIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D15455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Sean Devine, MD
• Crystal M Dexter, MD
• Nirvan K Dharampaul, DPT
• Dial a Carer
• Dianne G Lefty (Speech and Language Disorders)
• Nancy M Dickerson, MD
• Madeline Dickinson
• Duncan Ross Dickson, MD
• Karen Kenney Dickson, MD
• Hannah Dietel

• Dentist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.