Noland Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

9092 Issued in OR

Legal business name

NOLAND DENTAL LLC

Practice address

12400 SW Allen Blvd
Beaverton, OR 97005-4839

Phone

(503) 789-8465

Fax

(503) 646-8123

NPI assigned

Feb 20, 2015

Last updated

Feb 20, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Brooks Noland, DMDNPI 1346401452

Title

Dentist/Managing Member

Phone

(503) 789-8465

Specialties & licenses 1

Addresses

Other names 1

• Paul Brooks Noland DMD Former legal business name

Locations

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.

• Paul Brooks Noland, D.M.D.

  • General Practice Dentistry
  • Beaverton, OR
  • NPI 1346401452
  NPD (past) Authorized official

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424390400000",
    "number": "1568854040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8646",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972078646",
            "telephone_number": "503-789-8465",
            "fax_number": "503-646-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 SW ALLEN BLVD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054839",
            "telephone_number": "503-789-8465",
            "fax_number": "503-646-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAND DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A",
        "authorized_official_last_name": "NOLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "DENTIST/MANAGING MEMBER",
        "authorized_official_telephone_number": "503-789-8465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "9092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul Brooks Noland DMD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elizabeth Wangui Njeru-Gibbons
• Susan Njoroge, FNP
• Mary Nkwa Ako Jr., CAREGIVER
• Jasmine Jewel Noble
• Alexa Marie Noe
• Paul Brooks Noland, D.M.D.
• Kennedy Zeta Noonan
• Shara Noori
• Norco Inc
• Steven Lynn Nordstrom, P.T.

• Dentist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.