Active NPI
Nathan N. Proud, D.D.S.
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1750514329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6152
- Practice address
- 6002 S Western Ave
Oklahoma City, OK 73139-1602 - Phone
- (405) 631-9100
- Fax
- (405) 631-4672
- NPI assigned
- Aug 31, 2009
- 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 | 6152 | OK | Primary |
Addresses
Primary practice location
6002 S Western Ave
Oklahoma City, OK 73139-1602
Mailing address
555 W. Benjamin Holt Dr.
BLDG. B
Stockton, CA 95207
Phone (209) 476-4700
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald Montgomery Dental Group, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Oklahoma City, OK
- NPI 1699717371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1750514329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 W. BENJAMIN HOLT DR.",
"address_2": "BLDG. B",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95207",
"telephone_number": "209-476-4700",
"fax_number": "209-478-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6002 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731391602",
"telephone_number": "405-631-9100",
"fax_number": "405-631-4672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROUD",
"first_name": "NATHAN",
"middle_name": "N.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.