Nathan Hawk, D.M.D, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011185B Issued in IN

Legal business name

NATHAN HAWK, D.M.D, P.C.

Doing business as

Raintree Dental

Practice address

120 S Memorial Dr
Suite F
New Castle, IN 47362-4988

Phone

(765) 529-8668

Fax

(765) 529-8778

NPI assigned

Nov 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Hawk, DMD

Title

Dentist

Phone

(765) 529-8668

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Raintree Dental Doing business as

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1861729618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S MEMORIAL DR",
            "address_2": "SUITE F",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624988",
            "telephone_number": "765-529-8668",
            "fax_number": "765-529-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MEMORIAL DR",
            "address_2": "SUITE F",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624988",
            "telephone_number": "765-529-8668",
            "fax_number": "765-529-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN HAWK, D.M.D, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "HAWK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "765-529-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011185B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114188745",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raintree Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamey Sue Moster, RBT
• Joseph Moto, FNP
• Roberta Jane Mueller, M.D.
• Sara Elizabeth Mueller, NP
• Nancy W. Griffith, M.D.
• Shelby Nation
• Eldonna Kay Neeley, RD
• Neil W. Thornhill DDS
• Stephen F Nelson, LCSW
• New Castle Clinic Inc (New Castle DME)

• General Practice Dentistry in New Castle, IN
• Providers in New Castle, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.