Organization Active NPI

Nolan L. Gerlach D.D.S., P.L.L.C.

  • Dental Clinic/Center
  • Bellevue, WA
National Provider Identifier
1972816460
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DE60130018 Issued in WA
Legal business name
NOLAN L. GERLACH D.D.S., P.L.L.C.
Doing business as
Bellevue Pediatric Dentistry and Orthodontics
Practice address
875 140TH Ave NE
Suite 200
Bellevue, WA 98005-3400
Phone
(425) 614-3777
Fax
(425) 641-1960
NPI assigned
Jul 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Authorized official

Name
Dr. Nolan Louis Gerlach, DDSNPI 1124283197
Title
Owner
Phone
(206) 854-6317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DE60130018 WA Primary

Addresses

Primary practice location

875 140TH Ave NE
Suite 200
Bellevue, WA 98005-3400

Mailing address

16604 SE 17TH PL
Bellevue, WA 98008-5125
Phone (206) 854-6317

Other names 1

  • Bellevue Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

875 140th Ave NE
Ste 200
Bellevue, WA 98005
Phone (425) 614-3777

Practitioners & affiliated clinicians

Practitioners 2

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": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1972816460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16604 SE 17TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980085125",
            "telephone_number": "206-854-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 140TH AVE NE",
            "address_2": "SUITE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980053400",
            "telephone_number": "425-614-3777",
            "fax_number": "425-641-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLAN L. GERLACH D.D.S., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-854-6317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "DE60130018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.