Nathan James Pettit, D.M.D., M.S.D.

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

27005 Issued in TX

Practice address

7400 Fannin St Ste 880
Houston, TX 77054-1911

Phone

(713) 790-0531

Fax

(713) 790-0725

NPI assigned

Mar 15, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1558660662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 880",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541911",
            "telephone_number": "713-790-0531",
            "fax_number": "713-790-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST STE 880",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541911",
            "telephone_number": "713-790-0531",
            "fax_number": "713-790-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "NATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27005",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "27005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roslynn Pettigrew, LCSW
• Pettis Counseling, PLLC
• Renee Delise Pettis, PA-C
• George Walter Pettit, MD
• Makenzie Pettit
• Deborah Pettway
• Sharon Kay Tucker Pettway, MD
• Ann K. Petty, MT-BC, NMT
• Gary Leon Petty, PHD
• Kristi L Petty, RD

• Prosthodontics in Houston, TX
• Providers in Houston, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.