Active NPI
Gary Alan Nord Jr., DMD
- Prosthodontics
- Brooklyn, NY
National Provider Identifier
1790064376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 055668
- Practice address
- 127 Meserole St
Apt #2B
Brooklyn, NY 11206-2189 - Phone
- (562) 644-4059
- NPI assigned
- Aug 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 055668 | NY | Primary |
Addresses
Primary practice location
127 Meserole St
Apt #2B
Brooklyn, NY 11206-2189
Mailing address
127 Meserole St
Apt #2B
Brooklyn, NY 11206-2189
Phone (562) 644-4059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055668 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1790064376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 MESEROLE ST",
"address_2": "APT #2B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112062189",
"telephone_number": "562-644-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 MESEROLE ST",
"address_2": "APT #2B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112062189",
"telephone_number": "562-644-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORD",
"first_name": "GARY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-12",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NY",
"license": "055668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.