Active NPI
Neal Jared Nation, D.D.S.
- Pediatric Dentistry
- Phoenix, AZ
National Provider Identifier
1639152184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6299
- Practice address
- 6750 N 19TH Ave
Phoenix, AZ 85015-1127 - Phone
- (602) 242-5741
- Fax
- (602) 242-5742
- NPI assigned
- Nov 29, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 6299 | AZ | Primary |
Addresses
Primary practice location
6750 N 19TH Ave
Phoenix, AZ 85015-1127
Mailing address
23956 N 74TH St
Scottsdale, AZ 85255-3420
Phone (480) 664-2175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6299 | Other | AZ | STATE LICENSE |
| 884107 | Medicaid | AZ |
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 |
|---|---|---|---|
| 6299 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639152184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23956 N 74TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852553420",
"telephone_number": "480-664-2175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 N 19TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850151127",
"telephone_number": "602-242-5741",
"fax_number": "602-242-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATION",
"first_name": "NEAL",
"middle_name": "JARED",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "6299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "6299",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "884107",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Mira Beth Nathan, AUD
- Rachael Nathan
- Rohit B Nathan, D.O.
- Stephen Perry Nathan, MD
- Nation Wide Medical Supply, Inc
- National Birth Centers, Inc.
- National Cardiovascular Associates, LLC
- National Chiropractic Solutions, LLC
- National Council on Alcoholism Greater Phoenix Area
- National Medical Supply Service Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.