Organization Active NPI

Nolan Creek Dental PLLC

  • Dentist
  • Belton, TX
National Provider Identifier
1841604428
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NOLAN CREEK DENTAL PLLC
Practice address
404 E 6TH Ave
Belton, TX 76513-2668
Phone
(254) 939-3748
Fax
(254) 939-1150
NPI assigned
Jun 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Mrs. Jesse Lynn Bowles
Title
Owner
Phone
(254) 300-8804

Specialties & licenses 1

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

Addresses

Primary practice location

404 E 6TH Ave
Belton, TX 76513-2668

Mailing address

1237 County Road 197
Jonesboro, TX 76538-1207

National Provider Directory

National Provider Directory

Locations

404 E 6th Ave
Belton, TX 76513
Phone (254) 939-3748

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": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1841604428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 COUNTY ROAD 197",
            "city": "JONESBORO",
            "state": "TX",
            "postal_code": "765381207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132668",
            "telephone_number": "254-939-3748",
            "fax_number": "254-939-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAN CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-300-8804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.