Individual provider Active NPI

Nathaniel Scott Durtschi, D.M.D.

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1538416888
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20225 Issued in FL
Practice address
1108 Airport Blvd Ste B
Pensacola, FL 32504-8623
Phone
(850) 474-0300
NPI assigned
Aug 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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 DN20225 FL Primary

Addresses

Primary practice location

1108 Airport Blvd Ste B
Pensacola, FL 32504-8623

Mailing address

1108 Airport Blvd Ste B
Pensacola, FL 32504-8623
Phone (850) 474-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20171227002623 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 3971861733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1538416888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 AIRPORT BLVD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048623",
            "telephone_number": "850-474-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 AIRPORT BLVD STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048623",
            "telephone_number": "850-474-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURTSCHI",
        "first_name": "NATHANIEL",
        "middle_name": "SCOTT",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.