Active NPI
Nolan Properties and Business Management
- Dentist
- Brooklyn, NY
National Provider Identifier
1063552818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 029668
- Legal business name
- NOLAN PROPERTIES AND BUSINESS MANAGEMENT
- Practice address
- 585 Evergreen Ave
Brooklyn, NY 11221 - Phone
- (718) 453-8646
- Fax
- (718) 453-8643
- NPI assigned
- Feb 8, 2007
- Organization subpart
- Yes
- Parent organization
- ALEXANDER MILLER D.D.S. P.C
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Edward E. Nolan Jr.
- Title
- Manager
- Phone
- (718) 453-8646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 029668 | NY | Primary |
Addresses
Primary practice location
585 Evergreen Ave
Brooklyn, NY 11221
Mailing address
585 Evergreen Ave
Brooklyn, NY 11221
Phone (718) 453-8646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00699665 | Medicaid | NY |
Other names 1
- Evergreen Dental Management
National Provider Directory
National Provider Directory- Part of
- Alexander Miller DDS PC
Locations
585 Evergreen Ave
Brooklyn, NY 11221
Phone (718) 453-8646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1063552818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 EVERGREEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11221",
"telephone_number": "718-453-8646",
"fax_number": "718-453-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 EVERGREEN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11221",
"telephone_number": "718-453-8646",
"fax_number": "718-453-8643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOLAN PROPERTIES AND BUSINESS MANAGEMENT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALEXANDER MILLER D.D.S. P.C",
"enumeration_date": "2007-02-08",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "NOLAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "718-453-8646",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "029668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00699665",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Evergreen Dental Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.