Aneel Nath, D.D.S

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

D10031 Issued in OR

Practice address

1677 Molalla Ave
Oregon City, OR 97045-4007

Phone

(503) 650-2612

NPI assigned

Nov 30, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Sep 8, 2020 through Sep 8, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Capitol Periodontal Group

  • Periodontics
  • Folsom, CA
  • NPI 1962735993
  NPD (past)

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1992072284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1677 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454007",
            "telephone_number": "503-650-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 MOLALLA AVE",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970454007",
            "telephone_number": "503-650-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATH",
        "first_name": "ANEEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59900",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D10031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mutschler & Mutschler Dental LLC
• Dustin Nading
• Tia S Nadler, PMHNP
• Rubama Nasir, DO
• Neeka Nasrolahi, DMD
• Lois C Nation, RN
• National Vision, Inc.
• Natural Healing Northwest
• Natural Health Works, PC
• Alexander Nava

• Periodontics in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Periodontics in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.