Alyssa Nowlen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108036 Issued in CA

Practice address

435 Manhattan Ave Apt a
Hermosa Beach, CA 90254-4578

Phone

(408) 607-9866

NPI assigned

May 17, 2021

Last updated

Sep 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: alyssa.nowlen.p1@direct.cscla.nextgenshare.com

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1538733373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 MANHATTAN AVE APT A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544578",
            "telephone_number": "408-607-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 MANHATTAN AVE APT A",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902544578",
            "telephone_number": "408-607-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLEN",
        "first_name": "ALYSSA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Mary Niehaus, LCSW
• Spencer Nieves
• Janice Nishiyama, PSY.D.
• Adrienne Norquist, MSN, ACNP-BC
• Mary Ann Notari, MFT
• Sean Nulty
• Alexandra Nuttall-Smith, MPT
• Mary Lou O'Brien, CNM
• Eloise O'Donnell, RDN, CDCES
• Paulette Theresia O'Hara, OTD, OTR/L

• General Practice Dentistry in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.

Verify at the official NPI Registry.