DR. NATHANIEL SIMON MELLUL DMD
NPI 1043006554
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Nathaniel Mellul's NPI number?

The NPI number for Nathaniel Mellul is 1043006554. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Q: What is Nathaniel Mellul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Mellul was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2025

420 W WATKINS ST, PHOENIX, AZ 85003(602) 261-6842 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nathaniel Simon Mellul Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NATHANIEL SIMON MELLUL DMD (NPI 1043006554) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1043006554

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. NATHANIEL SIMON MELLULCredential: DMD

Location Address420 W WATKINS STPhoenix, AZ 85003-2830

Mailing Address22 Exton CirCherry Hill, NJ 08003-2961

Phone(602) 261-6842

Sole ProprietorYes

Enumeration DateApril 19, 2025

Last NPPES UpdateMay 6, 2025

NPPES CertifiedMay 6, 2025

✔ NPI 1043006554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 W WATKINS ST, Phoenix, AZ 85003

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEEN KAUSHAL

Student in an Organized Health Care Education/Training Program

420 W WATKINS ST
PHOENIX, AZ 85003

Maricopa County (602) 261-6825

DR. ISABELLA BRIANNA GONSALVES DMD

Student in an Organized Health Care Education/Training Program

420 W WATKINS ST
PHOENIX, AZ 85003

Maricopa County (602) 850-6900

MICHELLE CWINTAL DMD, MSC

Student in an Organized Health Care Education/Training Program

420 W WATKINS ST
PHOENIX, AZ 85003

Maricopa County (602) 261-6842

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathaniel Mellul's NPI number?

The NPI number for Nathaniel Mellul is 1043006554. It was assigned to this individual provider in the NPPES registry on April 19, 2025.

Where is Nathaniel Mellul located?

Nathaniel Mellul practices at 420 W Watkins St, Phoenix, AZ 85003. The listed phone number is (602) 261-6842.

What is Nathaniel Mellul's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nathaniel Mellul was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.