Nathan Charles Coddington, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

38970 Issued in TX

Practice address

3551 Roger Brooke Dr BLDG 3600
Jbsa Ft Sam Houston, TX 78234-4504

Phone

(541) 228-2942

NPI assigned

Jul 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693008000000",
    "number": "1841926763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DG-AF POSTGRADUATE DENTAL SCHOOL",
            "address_2": "2133 PEPPERRELL ST, BLDG 3352",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "210-292-6258",
            "fax_number": "210-292-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR BLDG 3600",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "541-228-2942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 DG-AF Postgraduate Dental School",
            "address_2": "2133 Pepperrell St Bldg 3352",
            "address_purpose": "LOCATION",
            "city": "JBSA-Lackland",
            "state": "TX",
            "postal_code": "782365313",
            "country_code": "US",
            "telephone_number": "541-228-2942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CODDINGTON",
        "first_name": "NATHAN",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2023-08-26",
        "certification_date": "2023-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205275",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "38970",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Stephen Clark, FNP
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• Eliana Clemmer
• Daniel Cognetti, MD
• Jason Alan Compton, D.O.
• Caroline Elizabeth Conner, PHARMD
• Paige Conrad, DO
• Juliette Conte, MD

• Dentist in Jbsa Ft Sam Houston, TX
• Providers in Jbsa Ft Sam Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2023; 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.