Organization Active NPI

Christian Nolten D M D LTD

  • Dentist
  • Evanston, IL
National Provider Identifier
1740515386
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019027750 Issued in IL
Legal business name
CHRISTIAN NOLTEN D M D LTD
Practice address
1029 Howard St
Suite 201
Evanston, IL 60202-3877
Phone
(847) 491-0660
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Christian Nolten, D.M.D. LTD
Title
Dentist
Phone
(414) 736-9426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 019027750 IL Primary

Addresses

Primary practice location

1029 Howard St
Suite 201
Evanston, IL 60202-3877

Mailing address

1250 N la Salle Dr
Apt 913
Chicago, IL 60610-1949
Phone (414) 736-9426

Other identifiers 1

IdentifierTypeStateIssuer
019027750MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1740515386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 N LA SALLE DR",
            "address_2": "APT 913",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101949",
            "telephone_number": "414-736-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 HOWARD ST",
            "address_2": "SUITE 201",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023877",
            "telephone_number": "847-491-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN NOLTEN D M D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "NOLTEN",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "414-736-9426",
        "authorized_official_credential": "D.M.D. LTD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019027750",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.