Martha Jennilee Nolan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6262 Issued in LA

Practice address

5454 Cypress St
West Monroe, LA 71291-7508

Phone

(318) 396-0054

Fax

(318) 397-0850

NPI assigned

Jun 11, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Amazing Smiles

  • Customized Equipment (DME)
  • West Monroe, LA
  • NPI 1437975018
  NPD Authorized official

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1730441270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917508",
            "telephone_number": "318-396-0054",
            "fax_number": "318-397-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917508",
            "telephone_number": "318-396-0054",
            "fax_number": "318-397-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "MARTHA",
        "middle_name": "JENNILEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1862622",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Day Recovery, LLC
• New Day Recovery, LLC
• New Way Recovery, LLC
• Anne Newman, M.A., LPC, LMFT
• Dan Newsom, PHARM D
• David Norman, M.D.
• Gay G. Norred, LPC, LAC
• Amanda Marie Norris, PH.D.
• North Delta Coaching, Training, and Consulting Services
• Northeast Louisiana Rehabilitation

• General Practice Dentistry in West Monroe, LA
• Providers in West Monroe, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.