Nate Porter DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7582 Issued in AZ

Legal business name

NATE PORTER DDS PLC

Doing business as

Brown Road Dental

Practice address

855 E Brown Rd Ste 4
Mesa, AZ 85203-4958

Phone

(480) 834-6100

NPI assigned

May 14, 2012

Last updated

May 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan R Porter, DDSNPI 1710140686

Title

Ceo

Phone

(480) 834-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brown Road Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nathan Ray Porter, D.D.S.

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1710140686
  Authorized official Same address or phone

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1861751661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034958",
            "telephone_number": "480-834-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 E BROWN RD STE 4",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852034958",
            "telephone_number": "480-834-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATE PORTER DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-834-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350633",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown Road Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Nash, MSN
• Beshoy Nashed, DO
• Michelle Nasseef, NP
• Steven Anthony Nastasio Jr., RN
• Marina Natanelova, MSW
• Nathan R. Kitchen, D.M.D., PC
• Nathan T Davis DDS PC
• National Birth Centers, Inc.
• National Education Institutes, LLC (My Dental Dentistry & Implants)
• National Vision Inc (America's Best Contacts & Eyeglasses)

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.