Organization Active NPI

Nolan Brotherton DDS PC

  • Dentist
  • Westminster, CO
National Provider Identifier
1740573773
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9416 Issued in CO
Legal business name
NOLAN BROTHERTON DDS PC
Practice address
5191 W 112TH Ave
Unit a/B
Westminster, CO 80031-2177
Phone
(303) 465-5900
Fax
(303) 465-5901
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Kelly Mullane Brantley
Title
Office Manager
Phone
(303) 715-8132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9416 CO Primary

Addresses

Primary practice location

5191 W 112TH Ave
Unit a/B
Westminster, CO 80031-2177

Mailing address

5191 W 112TH Ave
Unit a/B
Westminster, CO 80031-2177
Phone (303) 465-5900

National Provider Directory

National Provider Directory

Locations

5191 W 112th Ave
Unit Ab
Westminster, CO 80031
Phone (303) 465-5900

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1740573773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5191 W 112TH AVE",
            "address_2": "UNIT A/B",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312177",
            "telephone_number": "303-465-5900",
            "fax_number": "303-465-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5191 W 112TH AVE",
            "address_2": "UNIT A/B",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312177",
            "telephone_number": "303-465-5900",
            "fax_number": "303-465-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAN BROTHERTON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "BRANTLEY",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MULLANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-715-8132"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.