Active NPI
Elizabeth Mary Nolan, DDS
- Dentist
- Temple Terrace, FL
National Provider Identifier
1265272801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29702
- Practice address
- 11157 N 56TH St
Temple Terrace, FL 33617-2901 - Phone
- (813) 641-4921
- NPI assigned
- May 30, 2024
- Last updated
- Sep 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29702 | FL | Primary |
| Public Health Dentistry | 1223D0001X | DN29702 | FL |
Addresses
Primary practice location
11157 N 56TH St
Temple Terrace, FL 33617-2901
Mailing address
12701 S 82ND Ave
Palos Park, IL 60464-2015
Phone (708) 712-0692
Other practice location 1
3690 E Bay Dr Ste K
Largo, FL 33771-1946
Phone (727) 314-7559
Other practice location 2
1501 W Silver Springs Blvd
Ocala, FL 34475-6456
Phone (352) 622-2664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29702 | FL | MD | Dentist |
| DN29702 | FL | MD | Public Health Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1265272801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12701 S 82ND AVE",
"city": "PALOS PARK",
"state": "IL",
"postal_code": "604642015",
"telephone_number": "708-712-0692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11157 N 56TH ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336172901",
"telephone_number": "813-641-4921"
}
],
"practiceLocations": [
{
"address_1": "3690 E Bay Dr Ste K",
"address_purpose": "LOCATION",
"city": "Largo",
"state": "FL",
"postal_code": "337711946",
"country_code": "US",
"telephone_number": "727-314-7559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 W Silver Springs Blvd",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344756456",
"country_code": "US",
"telephone_number": "352-622-2664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLAN",
"first_name": "ELIZABETH",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-30",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "29702",
"primary": true
},
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "FL",
"license": "DN29702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.