Organization Active NPI

Dr.Robert Nolan

  • General Practice Dentistry
  • Playa del Rey, CA
National Provider Identifier
1336236553
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30420 Issued in CA
Legal business name
DR.ROBERT NOLAN
Practice address
211 Culver Blvd Ste T
Playa del Rey, CA 90293-7776
Phone
(310) 827-5094
Fax
(310) 821-3417
NPI assigned
Oct 8, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Dr. Robert N Nolan, DDS
Title
Owner
Phone
(310) 827-5094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30420 CA Primary

Addresses

Primary practice location

211 Culver Blvd Ste T
Playa del Rey, CA 90293-7776

Mailing address

211 Culver Blvd Ste T
Playa del Rey, CA 90293-7776
Phone (310) 827-5094

National Provider Directory

National Provider Directory

Locations

211 Culver Blvd
Ste T
Playa del Rey, CA 90293
Phone (310) 827-5094

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": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1336236553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CULVER BLVD STE T",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937776",
            "telephone_number": "310-827-5094",
            "fax_number": "310-821-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CULVER BLVD STE T",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937776",
            "telephone_number": "310-827-5094",
            "fax_number": "310-821-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ROBERT NOLAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-827-5094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.