Active NPI
Leonardo Dock Nolan Jr.
- Technician/Technologist
- Sterling Heights, MI
National Provider Identifier
1568158384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- License
- N450507149775
- Practice address
- 334664 Schoeherr Rd
Suite 180
Sterling Heights, MI 48312 - Phone
- (313) 208-4782
- Fax
- (248) 712-4381
- NPI assigned
- Apr 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 156F00000X | N450507149775 | MI | Primary |
Addresses
Primary practice location
334664 Schoeherr Rd
Suite 180
Sterling Heights, MI 48312
Mailing address
334664 Schoeherr Rd
Suite 180
Sterling Heights, MI 48312
Phone (313) 208-4782
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
| License | State | Type | Specialty |
|---|---|---|---|
| N450507149775 | MI | MD | Technician/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1568158384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334664 SCHOEHERR RD",
"address_2": "SUITE 180",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48312",
"telephone_number": "313-208-4782",
"fax_number": "248-712-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334664 SCHOEHERR RD",
"address_2": "SUITE 180",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "48312",
"telephone_number": "313-208-4782",
"fax_number": "248-712-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "LEONARDO",
"middle_name": "DOCK",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": "MI",
"license": "N450507149775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sterling Heights, MI
- Gabriella Maria Noah
- Nofar Dental Group PLLC
- Stephanie Lynn Nofar, LPC, CAADC
- Nolan Speech & Language Center
- Keisha Marie Nolan, M.A, CCC-SLP
- Younan P Nona, D.D.S
- Normandy Optical West, PLLC (Garfield VIsion Center)
- North Oaks Dental Sterling PLLC (North Oaks Dental Sterling Heights)
- North Point-Pioneer, Inc (Pioneer Counseling Center)
- Northland Family Planning Centers, East
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.