Nathaniel Steven Minter, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.023780 Issued in OH

Practice address

2694 Easton St NE
Canton, OH 44721-2623

Phone

(330) 662-5454

NPI assigned

Feb 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1750655494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 EASTON ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212623",
            "telephone_number": "813-679-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2694 EASTON ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212623",
            "telephone_number": "330-662-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 W D L Ingram Blvd",
            "address_2": "Bldg 1400",
            "address_purpose": "LOCATION",
            "city": "Cannon AFB",
            "state": "NM",
            "postal_code": "881035103",
            "country_code": "US",
            "telephone_number": "813-679-6770",
            "fax_number": "575-784-4043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3976 King Graves Rd Unit 11",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "OH",
            "postal_code": "444735998",
            "country_code": "US",
            "telephone_number": "813-679-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4332 S Cleveland Massillon Rd",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "OH",
            "postal_code": "442035732",
            "country_code": "US",
            "telephone_number": "330-825-4446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 S Main St",
            "address_purpose": "LOCATION",
            "city": "North Canton",
            "state": "OH",
            "postal_code": "44720",
            "country_code": "US",
            "telephone_number": "813-679-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINTER",
        "first_name": "NATHANIEL",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-27",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Minier, CDCA
• Shannon Lynn Minnich Young, CT
• Jonathan Minnich
• Denise Minocchi
• Joseph Michael Minor Jr.
• Mioara Tudosie, MD, LLC
• Melanie Ethell Mirande, MD
• Naseem Mirhaidari, CT
• Shayda Mirhaidari, M.D.
• Martin Phillip Mirise, NURSE AIDE

• General Practice Dentistry in Canton, OH
• Providers in Canton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.