Organization Active NPI

Nolana Family Dental, PA

  • General Practice Dentistry
  • McAllen, TX
National Provider Identifier
1750774121
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18414 Issued in TX
Legal business name
NOLANA FAMILY DENTAL, PA
Practice address
801 E Nolana Ave Ste 21
McAllen, TX 78504-6106
Phone
(956) 631-5700
Fax
(956) 631-1717
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Mohammad H Mirmohammadi
Title
President
Phone
(956) 655-0067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18414 TX Primary

Addresses

Primary practice location

801 E Nolana Ave Ste 21
McAllen, TX 78504-6106

Mailing address

801 E Nolana Ave Ste 21
McAllen, TX 78504-6106
Phone (956) 631-5700

Other identifiers 1

IdentifierTypeStateIssuer
1073613519OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

801 E Nolana Ave
Ste 21
McAllen, TX 78504
Phone (956) 631-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1750774121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 21",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046106",
            "telephone_number": "956-631-5700",
            "fax_number": "956-631-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE STE 21",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046106",
            "telephone_number": "956-631-5700",
            "fax_number": "956-631-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLANA FAMILY DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "MIRMOHAMMADI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-655-0067",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1073613519",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.