Nathan A Catmull, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4143 Issued in ID

Practice address

502 8TH St
Rupert, ID 83350-1417

Phone

(208) 436-4747

Fax

(208) 436-9683

NPI assigned

Jun 9, 2008

Last updated

Jun 9, 2008By the provider in NPPES

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

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Town Square Dental PLLC

  • General Practice Dentistry
  • Rupert, ID
  • NPI 1124534433
  NPD (past) Authorized official
• John a Simpson DDS PC

  • General Practice Dentistry
  • Rupert, ID
  • NPI 1497914337
  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1457510042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501417",
            "telephone_number": "208-436-4747",
            "fax_number": "208-436-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 8TH ST",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833501417",
            "telephone_number": "208-436-4747",
            "fax_number": "208-436-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATMULL",
        "first_name": "NATHAN",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D4143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Callahan, D.O
• Lanny F Campbell, MD
• Sandra Cantu
• Elizabeth Castro Castaneda, MS, LPC, NCC
• Aaron Catmull
• Patrick Joseph Cindrich, M.D.
• Charles Malcolm Clair Jr., MD
• John B Clayton, ICADC
• Tanya Reid Crystal, FNP-C
• Mark Dahle, MD

• General Practice Dentistry in Rupert, ID
• Providers in Rupert, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.