Active NPI
John Christopher Dolan, MA, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- New York, NY
National Provider Identifier
1861879827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 055388
- Practice address
- 327 Central Park West
Suite 1a
New York, NY 10025 - Phone
- (212) 998-9396
- Fax
- (212) 280-3447
- NPI assigned
- Apr 29, 2015
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 055388 | NY | Primary |
Addresses
Primary practice location
327 Central Park West
Suite 1a
New York, NY 10025
Mailing address
421 First Avenue
Clinic 2W
New York, NY 10010
Phone (718) 685-6084
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
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 055388 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1861879827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 FIRST AVENUE",
"address_2": "CLINIC 2W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10010",
"telephone_number": "718-685-6084",
"fax_number": "212-995-4843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 CENTRAL PARK WEST",
"address_2": "SUITE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-998-9396",
"fax_number": "212-280-3447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "JOHN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MA, DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2024-10-23",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "055388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.