NPIMap

Organization Active NPI

Michael Nolan DDS

  • Dentist
  • Corinth, NY
National Provider Identifier
1275880650
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34258 Issued in NY
Legal business name
MICHAEL NOLAN DDS
Practice address
15 Sherman Ave
Corinth, NY 12822-1017
Phone
(518) 654-6245
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Authorized official

Name
Dr. Michael Edward Nolan, DDSNPI 1356460257
Title
President
Phone
(518) 654-6245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 34258 NY Primary

Addresses

Primary practice location

15 Sherman Ave
Corinth, NY 12822-1017

Mailing address

15 Sherman Ave
Corinth, NY 12822-1017
Phone (518) 654-6245

National Provider Directory

National Provider Directory

Locations

15 Sherman Ave
Corinth, NY 12822
Phone (518) 654-6245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1275880650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SHERMAN AVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221017",
            "telephone_number": "518-654-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SHERMAN AVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "128221017",
            "telephone_number": "518-654-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL NOLAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-654-6245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "34258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.