Individual provider Active NPI

Nathaniel Fogel, DDS

  • General Practice Dentistry
  • Columbia, MD
National Provider Identifier
1760813331
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15415 Issued in MD
Practice address
8815 Centre Park Dr Ste 310
Columbia, MD 21045-2299
Phone
(410) 730-3311
NPI assigned
Dec 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15415 MD Primary

Addresses

Primary practice location

8815 Centre Park Dr Ste 310
Columbia, MD 21045-2299

Mailing address

8815 Centre Park Dr Ste 310
Columbia, MD 21045-2299
Phone (410) 730-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20160818001193 MD Order and Referring Only - DentistPractitioner - Dentist 2860787603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Office of Nathaniel Fogel, DDS LLC. CurrentSince May 4, 2025 Accepting new patients

Locations

8815 Centre Park Dr
Ste 310
Columbia, MD 21045
Phone (410) 730-3311

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.

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511049600000",
    "number": "1760813331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 CENTRE PARK DR STE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452299",
            "telephone_number": "410-730-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 CENTRE PARK DR STE 310",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452299",
            "telephone_number": "410-730-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOGEL",
        "first_name": "NATHANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-09",
        "last_updated": "2017-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.