Individual provider Active NPI

Nathan Christian Parrish, DDS

  • General Practice Dentistry
  • Ft Sill, OK
National Provider Identifier
1346202546
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5722 Issued in OK
Practice address
2776 Ringgold Rd
HQ, USA Dentac
Ft Sill, OK 73503-6300
Phone
(580) 442-3905
Fax
(580) 442-4002
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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 5722 OK Primary

Addresses

Primary practice location

2776 Ringgold Rd
HQ, USA Dentac
Ft Sill, OK 73503-6300

Mailing address

2776 Ringgold Rd
HQS, USA Dentac
Ft Sill, OK 73503-6300
Phone (580) 442-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180221001162 TX Order and Referring Only - DentistPractitioner - Dentist 9032470786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1346202546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2776 RINGGOLD RD",
            "address_2": "HQS, USA DENTAC",
            "city": "FT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 RINGGOLD RD",
            "address_2": "HQ, USA DENTAC",
            "city": "FT SILL",
            "state": "OK",
            "postal_code": "735036300",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "NATHAN",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Sill, OK

Sources for this page

Verify at the official NPI Registry.