Individual provider Active NPI

Nathan John Saydyk, D.D.S.

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1831246321
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6952 Issued in AZ
Practice address
936 East Williamsfield Road
Suite 102
Gilbert, AZ 85295-4881
Phone
(480) 926-0776
Fax
(480) 899-9689
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 D6952 AZ Primary

Addresses

Primary practice location

936 East Williamsfield Road
Suite 102
Gilbert, AZ 85295-4881

Mailing address

936 East Williamsfield Road
Suite 102
Gilbert, AZ 85295-4881
Phone (480) 926-0776

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

LicenseStateTypeSpecialty
D6952AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Creekview Family Dentistry LLC Current Accepting new patients

Locations

936 E Williams Field Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 926-0776

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": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1831246321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 EAST WILLIAMSFIELD ROAD",
            "address_2": "SUITE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954881",
            "telephone_number": "480-926-0776",
            "fax_number": "480-899-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 EAST WILLIAMSFIELD ROAD",
            "address_2": "SUITE 102",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852954881",
            "telephone_number": "480-926-0776",
            "fax_number": "480-899-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYDYK",
        "first_name": "NATHAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D6952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.