Nathaniel W Talley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5964 Issued in OK

Practice address

300 N Garrett
Elk City, OK 73644

Phone

(580) 225-1020

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elk Creek Dental Center, PLLC

  • Dental Clinic/Center
  • Elk City, OK
  • NPI 1992541601
  NPD Authorized official
• Hobart Family Dentistry PLLC

  • General Practice Dentistry
  • Hobart, OK
  • NPI 1356863716
  NPD Authorized official
• Tamarack Dental Associates, PLLC

  • General Practice Dentistry
  • Altus, OK
  • NPI 1174798045
  NPD (past)

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1982804126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N GARRETT ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "73644",
            "telephone_number": "580-225-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GARRETT",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "73644",
            "telephone_number": "580-225-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "NATHANIEL",
        "middle_name": "W",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Pete Stover, D.D.S.
• Shiloah Adam Stover, D.C.
• Carla D Suitor, M.S. LPC LADC
• Swartz Drug
• Darrell Switzer, PHARM D.
• Maci Tate
• Brittany A Taylor
• Makayla Taylor
• Teke Enterprises Inc
• Andle Temple

• Dentist in Elk City, OK
• Providers in Elk City, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.

Verify at the official NPI Registry.