Individual provider Active NPI

Martin Craig Nager, D.M.D.

  • Periodontics
  • Warwick, RI
National Provider Identifier
1508950924
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DNT2262 Issued in RI
Practice address
67 Jefferson Boulvard
Warwick, RI 02888-1053
Phone
(401) 781-2742
Fax
(401) 781-2740
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DNT 2262 RI
Periodontics 1223P0300X DN16220-1 MA
Periodontics 1223P0300X DNT2262 RI Primary

Addresses

Primary practice location

67 Jefferson Boulvard
Warwick, RI 02888-1053

Mailing address

67 Jefferson Boulvard
Warwick, RI 02888-1053
Phone (401) 781-2742

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

State licenses

LicenseStateTypeSpecialty
DN16220-1MAMDPeriodontist
DNT 2262RIMDPeriodontist
DNT2262RIMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1508950924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON BOULVARD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881053",
            "telephone_number": "401-781-2742",
            "fax_number": "401-781-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 JEFFERSON BOULVARD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028881053",
            "telephone_number": "401-781-2742",
            "fax_number": "401-781-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGER",
        "first_name": "MARTIN",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "DNT 2262",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN16220-1",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "RI",
            "license": "DNT2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.