Individual provider Active NPI

Rachel Williams Nolan, DDS

  • General Practice Dentistry
  • Chestertown, MD
National Provider Identifier
1881281830
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17114 Issued in MD
Practice address
202 S Maple Ave Ste 1
Chestertown, MD 21620-1666
Phone
(410) 778-1297
NPI assigned
Dec 23, 2020
Last updated
Dec 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17114 MD Primary

Addresses

Primary practice location

202 S Maple Ave Ste 1
Chestertown, MD 21620-1666

Mailing address

25105 Reeds Meadow Dr
Worton, MD 21678-1971
Phone (443) 480-1990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tthickmandds@atlanticbb.net Direct

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

LicenseStateTypeSpecialty
17114MDMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1881281830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25105 REEDS MEADOW DR",
            "city": "WORTON",
            "state": "MD",
            "postal_code": "216781971",
            "telephone_number": "443-480-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S MAPLE AVE STE 1",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216201666",
            "telephone_number": "410-778-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "RACHEL",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "17114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tthickmandds@atlanticbb.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 S Maple Ave Ste 1",
            "city": "Chestertown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "216201666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.