Nathan Hartman, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2008014681 Issued in MO

Practice address

1654 Bryan Rd
O Fallon, MO 63368-4897

Phone

(636) 978-4848

Fax

(636) 978-4862

NPI assigned

Mar 5, 2009

Sex

Male

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": "1236211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236211200000",
    "number": "1417197328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 AUTUMNWOOD FOREST DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 BRYAN RD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684897",
            "telephone_number": "636-978-4848",
            "fax_number": "636-978-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-05",
        "last_updated": "2009-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2008014681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Harris, CSFA
• Jeffrey Justin Harris, DDS
• Thomas Benjamin Harris, PLPC
• Craig Hartman, MHS, CCC-SLP
• Kimberly Hartman
• Nicole Leigh Hartrum, SLP
• Fatima Hasnain
• Olivia Faeth Hasselfeld, PA
• Misty Lynn Hause, LPC
• Emily Hawkins, PHARMD

• General Practice Dentistry in O Fallon, MO
• Providers in O Fallon, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.