Active NPI
Nathaniel Urquhart, DMD
- General Practice Dentistry
- Kingman, AZ
National Provider Identifier
1760427967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D5580
- Practice address
- 1751 N Stockton Hill Rd Ste a
Kingman, AZ 86401-6601 - Phone
- (928) 718-8668
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | D5580 | AZ | Primary |
Addresses
Primary practice location
1751 N Stockton Hill Rd Ste a
Kingman, AZ 86401-6601
Mailing address
2195 E Packard Ave
Kingman, AZ 86409-1211
Phone (928) 388-5475
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5580 | AZ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760427967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 E PACKARD AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864091211",
"telephone_number": "928-388-5475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 N STOCKTON HILL RD STE A",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864016601",
"telephone_number": "928-718-8668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URQUHART",
"first_name": "NATHANIEL",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D5580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingman, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.