Active NPI
Alan Sacks, DDS, PA
- Pediatric Dentistry
- West Caldwell, NJ
National Provider Identifier
1003033200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2134
- Legal business name
- ALAN SACKS, DDS, PA
- Practice address
- 1129 Bloomfield Ave
West Caldwell, NJ 07006 - Phone
- (973) 575-8330
- NPI assigned
- Apr 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Sacks, DDS
- Title
- President
- Phone
- (973) 575-8330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 2134 | NJ | Primary |
Addresses
Primary practice location
1129 Bloomfield Ave
West Caldwell, NJ 07006
Mailing address
5 Horizon Rd. Apt.1407
Fort Lee, NJ 07024-6636
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003033200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HORIZON RD. APT.1407",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070246636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 BLOOMFIELD AVE",
"city": "WEST CALDWELL",
"state": "NJ",
"postal_code": "07006",
"telephone_number": "973-575-8330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN SACKS, DDS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SACKS",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-575-8330",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NJ",
"license": "2134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Caldwell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.