NPIMap

Organization Active NPI

Nathan M. Faber DMD PC

  • Dentist
  • Kodiak, AK
National Provider Identifier
1750554614
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1179 Issued in AK
Legal business name
NATHAN M. FABER DMD PC
Practice address
413 E Rezanof Dr
Kodiak, AK 99615-6367
Phone
(907) 486-3257
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Nathan Morgan Faber, DMD
Title
President
Phone
(907) 486-3257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1179 AK Primary

Addresses

Primary practice location

413 E Rezanof Dr
Kodiak, AK 99615-6367

Mailing address

413 E Rezanof Dr
Kodiak, AK 99615-6367
Phone (907) 486-3257

National Provider Directory

National Provider Directory
Tax ID family
Nathan M Faber DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

413 E Rezanof Dr
Kodiak, AK 99615
Phone (907) 486-3257

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1750554614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156367",
            "telephone_number": "907-486-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156367",
            "telephone_number": "907-486-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN M. FABER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "FABER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "907-486-3257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kodiak, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.