Gloria Jean Nollie, DDS, MCLD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

25013 Issued in CA

Practice address

5740 Windmill Way
Suite 16
Carmichael, CA 95608-1379

Phone

(916) 331-0842

Fax

(916) 482-4287

NPI assigned

Nov 22, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Gloria Nollie DDS Ins

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carmichael, CA
  • NPI 1912292608
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1669547816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY",
            "address_2": "SUITE 16",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "916-331-0842",
            "fax_number": "916-482-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY",
            "address_2": "SUITE 16",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "916-331-0842",
            "fax_number": "916-482-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLLIE",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "DDS, MCLD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "25013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.