Nathan M Faber, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1179 Issued in AK

Practice address

2N Floor Intersea Mall
Suite 201
Dutch Harbor, AK 99692

Phone

(907) 581-3828

Fax

(907) 581-6494

NPI assigned

Mar 19, 2008

Last updated

Mar 19, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1679744585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2N FLOOR INTERSEA MALL",
            "address_2": "SUITE 201",
            "city": "DUTCH HARBOR",
            "state": "AK",
            "postal_code": "99692",
            "telephone_number": "907-581-3828",
            "fax_number": "907-581-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2N FLOOR INTERSEA MALL",
            "address_2": "SUITE 201",
            "city": "DUTCH HARBOR",
            "state": "AK",
            "postal_code": "99692",
            "telephone_number": "907-581-3828",
            "fax_number": "907-581-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABER",
        "first_name": "NATHAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleutian Pribilof Islands Association
• Arctic Chiropractic Rehab and PT Dutch Harbor
• Arctic Physical Therapy and Rehabilitation Unalaska LLC
• Reena Vega Bucaneg
• Hollt LLC
• David Scott Miller, LMT
• Richard Gerald Morris III, D.C.
• Anthony Ricci
• Danielle Brooke Werner, LMT

• General Practice Dentistry in Dutch Harbor, AK
• Providers in Dutch Harbor, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.