Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Nathan D Dederman, OD, FAAO

Optometrist in Fort Leonard Wood, MO · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174005243

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Registry record

Entity type Individual (Type 1)

Name Dr. Nathan D Dederman

Credential OD, FAAO

Sex Male

Practice address 4430 Missouri Ave # 1267, Fort Leonard Wood, MO, 65473

Phone (505) 249-9251

Enumeration date Sep 5, 2018

Last updated in NPPES Jan 12, 2024

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 3451 (TN) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier	Type	State	Issuer
10002	Other	TX	STATE LICENSE
3451	Other	TN	STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Nathan Dederman practice?

The practice location on file with NPPES is in Fort Leonard Wood, MO. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Nathan Dederman?

The National Provider Identifier (NPI) for Nathan Dederman is 1174005243, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-12.