Active NPI
Nathan John Saydyk, D.D.S.
- General Practice Dentistry
- Gilbert, AZ
National Provider Identifier
1831246321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D6952
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| D6952 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Gilbert, AZ
- NPI 1477731834
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.