Active NPI
Nathan Halstead, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Duluth, MN
National Provider Identifier
1346397395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D11615
- Practice address
- 324 W Superior St
Suite 100
Duluth, MN 55802-1701 - Phone
- (218) 722-5233
- Fax
- (218) 722-5661
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D11615 | MN | Primary |
Addresses
Primary practice location
324 W Superior St
Suite 100
Duluth, MN 55802-1701
Mailing address
324 W Superior St
Suite 100
Duluth, MN 55802-1701
Phone (218) 722-5233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D11615 | Other | MN | AOA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11615 | MN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathan G Halstead DDS Ms PC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Duluth, MN
- NPI 1518321710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1346397395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST",
"address_2": "SUITE 100",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021701",
"telephone_number": "218-722-5233",
"fax_number": "218-722-5661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST",
"address_2": "SUITE 100",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021701",
"telephone_number": "218-722-5233",
"fax_number": "218-722-5661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALSTEAD",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MN",
"license": "D11615",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AOA",
"identifier": "D11615",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.