Active NPI
Nathan D Nash, D.D.S
- General Practice Dentistry
- Jackson, TN
National Provider Identifier
1609024934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS8906
- Practice address
- 1363 Union University Dr Ste E
Jackson, TN 38305-3863 - Phone
- (731) 300-4545
- NPI assigned
- Aug 28, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS8906 | TN | Primary |
Addresses
Primary practice location
1363 Union University Dr Ste E
Jackson, TN 38305-3863
Mailing address
21 Meridian Springs Drive
Jackson, TN 38301
Phone (731) 424-7700
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS8906 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1609024934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 MERIDIAN SPRINGS DRIVE",
"city": "JACKSON",
"state": "TN",
"postal_code": "38301",
"telephone_number": "731-424-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 UNION UNIVERSITY DR STE E",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053863",
"telephone_number": "731-300-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASH",
"first_name": "NATHAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-28",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS8906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.