Individual provider Active NPI

Allan Michael Nalbor, D.D.S.

  • Dentist
  • Merrillville Bra, IN
National Provider Identifier
1508967027
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12007046B Issued in IN
Practice address
40 W 73Rd Ave
Merrillville Bra, IN 46410-3979
Phone
(219) 769-3305
Fax
(219) 769-4674
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12007046B IN Primary

Addresses

Primary practice location

40 W 73Rd Ave
Merrillville Bra, IN 46410-3979

Mailing address

40 W 73Rd Ave
Merrillville Bra, IN 46410-3979
Phone (219) 769-3305

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

LicenseStateTypeSpecialty
12007046BINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Manoj K Bahl, DDS, PC Past Accepting new patients
Nalbor Dental Corp Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508967027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 73RD AVE",
            "city": "MERRILLVILLE BRA",
            "state": "IN",
            "postal_code": "464103979",
            "telephone_number": "219-769-3305",
            "fax_number": "219-769-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 73RD AVE",
            "city": "MERRILLVILLE BRA",
            "state": "IN",
            "postal_code": "464103979",
            "telephone_number": "219-769-3305",
            "fax_number": "219-769-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALBOR",
        "first_name": "ALLAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12007046B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville Bra, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.