Organization Active NPI

Nolan Properties and Business Management

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1063552818
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
029668 Issued in NY
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.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00699665MedicaidNY

Other names 1

  • Evergreen Dental Management Doing business as

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.

Verify at the official NPI Registry.