Organization Active NPI

Noble Dental PLLC

  • Dental Clinic/Center
  • Duluth, MN
National Provider Identifier
1588097885
Registry record updated Aug 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D13068 Issued in MN
Legal business name
NOBLE DENTAL PLLC
Practice address
2016 W Superior St
Duluth, MN 55806-3524
Phone
(218) 722-2575
NPI assigned
Aug 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2013

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

Authorized official

Name
Dr. Jacob D. Noble, DDS
Title
Manager
Phone
(218) 722-2575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D13068 MN Primary

Addresses

Primary practice location

2016 W Superior St
Duluth, MN 55806-3524

Mailing address

2016 W Superior St
Duluth, MN 55806-3524
Phone (218) 722-2575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376092800000",
    "number": "1588097885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558063524",
            "telephone_number": "218-722-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 W SUPERIOR ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558063524",
            "telephone_number": "218-722-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBLE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-10",
        "last_updated": "2013-08-10",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "218-722-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D13068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2013; 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.