NATHANIEL TODD EDMUNDS DMD
NPI 1275067704
Dentist - Oral and Maxillofacial Surgery in Cincinnati, OH

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
867 EASTGATE NORTH DR, CINCINNATI, OH 45245(513) 843-0133 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 30, 2023, Jul 13, 2022, Apr 11, 2017 (3 updates tracked since 2017).

About Nathaniel Todd Edmunds Dmd NPPES

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

NATHANIEL TODD EDMUNDS DMD (NPI 1275067704) is an individual oral and maxillofacial surgery provider in Cincinnati, Ohio, licensed in Utah (13421345-9925) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275067704
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameNATHANIEL TODD EDMUNDSCredential: DMD
Location Address867 EASTGATE NORTH DRCincinnati, OH 45245-1791
Mailing Address10884 N Slate LnHighland, UT 84003-4300 · (801) 678-9518
Sole ProprietorNo
Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1275067704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in UT · 13421345-9925 Licensed in OH · 30.026872
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

867 EASTGATE NORTH DR, Cincinnati, OH 45245

Secondary Practice Locations 2

Location 15323 Harry Hines Blvd, CS3.104Dallas, TX 75390-9109 · Phone (214) 645-3979
Location 21022 E 220 SAmerican Fork, UT 84003-5504 · Phone (801) 756-0766

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nathaniel Todd Edmunds Dmd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395191803
PECOS Enrollment IDI20231019001465
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45245 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Dentist
867 EASTGATE NORTH DR
CINCINNATI, OH 45245
Dentist (General Practice)
867 EASTGATE NORTH DR
CINCINNATI, OH 45245
Optometrist
867 EASTGATE NORTH DR
CINCINNATI, OH 45245
Dentist (General Practice)
867 EASTGATE NORTH DR
CINCINNATI, OH 45245
Eyewear Supplier
867 EASTGATE NORTH DR, SUITE A
CINCINNATI, OH 45245
Dentist (General Practice)
867 EASTGATE NORTH DR
CINCINNATI, OH 45245

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 Edmunds's NPI number?

The NPI number for Nathaniel Edmunds is 1275067704. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Nathaniel Edmunds located?

Nathaniel Edmunds practices at 867 Eastgate North Dr, Cincinnati, OH 45245. The listed phone number is (513) 843-0133.

What is Nathaniel Edmunds's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nathaniel Edmunds enrolled in Medicare?

Yes. Nathaniel Edmunds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nathaniel Edmunds accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 11 other insurers list Nathaniel Edmunds as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathaniel Edmunds affiliated with any hospitals?

According to CMS data, Nathaniel Edmunds is affiliated with Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for Nathaniel Edmunds was last updated on August 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.