Erick William Nolting, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11798 Issued in MN

Practice address

1400 Hawthorne St
Suite #3
Alexandria, MN 56308-4549

Phone

(320) 762-0217

Fax

(320) 762-1084

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164585493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAWTHORNE ST STE 3",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084550",
            "telephone_number": "320-762-0217",
            "fax_number": "320-762-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAWTHORNE ST",
            "address_2": "SUITE #3",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084549",
            "telephone_number": "320-762-0217",
            "fax_number": "320-762-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLTING",
        "first_name": "ERICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Alexandria, MN
• Providers in Alexandria, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.