Dr. Nicole a. Middleton, PSC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. NICOLE A. MIDDLETON, PSC

Practice address

2425 Scottsville Rd
Suite 120
Bowling Green, KY 42104-4457

Phone

(270) 393-4814

Fax

(270) 842-5581

NPI assigned

Nov 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nicole A. Middleton, DDS

Title

Owner

Phone

(270) 393-4814

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1689975237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 SCOTTSVILLE RD",
            "address_2": "SUITE 120",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044457",
            "telephone_number": "270-393-4814",
            "fax_number": "270-842-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SCOTTSVILLE RD",
            "address_2": "SUITE 120",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044457",
            "telephone_number": "270-393-4814",
            "fax_number": "270-842-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICOLE A. MIDDLETON, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-14",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-393-4814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.