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DR. NOLAN BODAH D.D.S.
NPI 1912432790
Student in an Organized Health Care Education/Training Program in Syracuse, NY

Active since April 28, 2017
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-5540 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nolan Bodah D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NOLAN BODAH D.D.S. (NPI 1912432790) is an individual student in an organized health care education/training program in Syracuse, New York and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1912432790
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. NOLAN BODAHCredential: D.D.S.
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address14693b Cedar WayWatertown, NY 13601 · (315) 408-8666
Phone(315) 464-5540
Sole ProprietorYes
Enumeration DateApril 28, 2017
✔ NPI 1912432790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
750 E ADAMS ST, Syracuse, NY 13210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nolan Bodah's NPI number?

The NPI number for Nolan Bodah is 1912432790. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Nolan Bodah located?

Nolan Bodah practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-5540.

What is Nolan Bodah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

What insurance does Nolan Bodah accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 13 other insurers list Nolan Bodah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nolan Bodah was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.