NPIMap

Organization Active NPI

Erick W. Nolting DDS PA

  • Dentist
  • Alexandria, MN
National Provider Identifier
1285963470
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11798 Issued in MN
Legal business name
ERICK W. NOLTING DDS PA
Practice address
1400 Hawthorne St
Suite #3
Alexandria, MN 56308-4549
Phone
(320) 762-0217
Fax
(320) 762-1084
NPI assigned
Dec 17, 2009
Last updated
Apr 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Dr. Erick W Nolting, DDSNPI 1164585493
Title
President/Owner
Phone
(320) 762-0217

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D11798 MN Primary

Addresses

Primary practice location

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

Mailing address

1400 Hawthorne Street
Suite #3
Alexandria, MN 56308
Phone (320) 762-0217

National Provider Directory

National Provider Directory

Locations

1400 Hawthorne St
Ste 3
Alexandria, MN 56308
Phone (320) 762-0217

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1285963470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HAWTHORNE STREET",
            "address_2": "SUITE #3",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "56308",
            "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": {
        "organization_name": "ERICK W. NOLTING DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "NOLTING",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "320-762-0217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D11798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.