Active NPI
Nathan Allen Tolman, D.M.D.
- Dentist
- Lebanon, OR
National Provider Identifier
1851542518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D8281
- Practice address
- 1180 S Park St
Lebanon, OR 97355-3451 - Phone
- (541) 451-1991
- NPI assigned
- Sep 30, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | D8281 | OR | Primary |
Addresses
Primary practice location
1180 S Park St
Lebanon, OR 97355-3451
Mailing address
21 Cascade Dr
Lebanon, OR 97355-3765
Phone (541) 451-1991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151214001186 | OR | Order and Referring Only - Other (Non-Physician) | 2163601246 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D8281 | OR | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hester Mainstay | Past | Accepting new patients | |
| Nathan a Tolman, DMD, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Lebanon, OR
- NPI 1740271907
-
- Dental Clinic/Center
- Lebanon, OR
- NPI 1881452878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449532800000",
"number": "1851542518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CASCADE DR",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553765",
"telephone_number": "541-451-1991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 S PARK ST",
"city": "LEBANON",
"state": "OR",
"postal_code": "973553451",
"telephone_number": "541-451-1991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLMAN",
"first_name": "NATHAN",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-30",
"last_updated": "2015-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D8281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.