Active NPI
George Edward Noland, DMD
- Dentist
- Portland, OR
National Provider Identifier
1225217573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D4855
- Practice address
- 511 SW 10TH Ave
#914
Portland, OR 97205 - Phone
- (503) 223-4775
- Fax
- (503) 243-2772
- NPI assigned
- Nov 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D4855 | OR | Primary |
Addresses
Primary practice location
511 SW 10TH Ave
#914
Portland, OR 97205
Mailing address
511 SW 10TH Ave
#914
Portland, OR 97205
Phone (503) 223-4775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D4855 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193961600000",
"number": "1225217573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 SW 10TH AVE",
"address_2": "#914",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-223-4775",
"fax_number": "503-243-2772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 SW 10TH AVE",
"address_2": "#914",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-223-4775",
"fax_number": "503-243-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAND",
"first_name": "GEORGE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-02",
"last_updated": "2007-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D4855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.