Organization Active NPI

Natal Dental LLC

  • General Practice Dentistry
  • New Haven, IN
National Provider Identifier
1740154939
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NATAL DENTAL LLC
Practice address
615 Professional Park Dr
New Haven, IN 46774-1850
Phone
(260) 493-2113
NPI assigned
Oct 1, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Dr. Douglas Ryan Natal, DMDNPI 1053052688
Title
Dentist
Phone
(703) 731-3297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

615 Professional Park Dr
New Haven, IN 46774-1850

Mailing address

11807 Fazio Dr
Fort Wayne, IN 46818-0150

National Provider Directory

National Provider Directory

Locations

615 Professional Park Dr
New Haven, IN 46774
Phone (260) 493-2113

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1740154939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11807 FAZIO DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468180150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PROFESSIONAL PARK DR",
            "city": "NEW HAVEN",
            "state": "IN",
            "postal_code": "467741850",
            "telephone_number": "260-493-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATAL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "NATAL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "703-731-3297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.