Individual provider Active NPI

Nathan Chase Murdock, D.D.S.

  • General Practice Dentistry
  • Beaver, UT
National Provider Identifier
1447513361
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023753 Issued in OH
Practice address
225 N Main St
Beaver, UT 84713-7712
Phone
(435) 421-9193
NPI assigned
Jun 18, 2012
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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 30-023753 OH Primary

Addresses

Primary practice location

225 N Main St
Beaver, UT 84713-7712

Mailing address

19 Executive Center Dr
Chillicothe, OH 45601-8087
Phone (740) 773-4066

Other practice location 1

19 Executive Center Dr
Chillicothe, OH 45601-8087
Phone (740) 773-4066

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023753OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Donna J Miller DMD Daniel F Green DDS and Jeremy D Crabtree DDS Inc 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1447513361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EXECUTIVE CENTER DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018087",
            "telephone_number": "740-773-4066",
            "fax_number": "740-773-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N MAIN ST",
            "city": "BEAVER",
            "state": "UT",
            "postal_code": "847137712",
            "telephone_number": "435-421-9193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Executive Center Dr",
            "address_purpose": "LOCATION",
            "city": "Chillicothe",
            "state": "OH",
            "postal_code": "456018087",
            "country_code": "US",
            "telephone_number": "740-773-4066",
            "fax_number": "740-773-9174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "NATHAN",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.