Bloomfield Dental Designs

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22DI02366100 Issued in NJ

Legal business name

BLOOMFIELD DENTAL DESIGNS

Practice address

10 Washington St
Bloomfield, NJ 07003-3412

Phone

(973) 743-3930

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Boris AlvarezNPI 1720252091

Title

DDS

Phone

(201) 724-2895

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Boris Alvarez, DDS

  • General Practice Dentistry
  • Bloomfield, NJ
  • NPI 1720252091
  NPD Authorized official
• Robert Henry Mack, DMD

  • General Practice Dentistry
  • Bloomfield, NJ
  • NPI 1093820615
  NPD (past)

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1003230293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MOUNT VERNON SQ",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442924",
            "telephone_number": "201-724-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WASHINGTON ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033412",
            "telephone_number": "973-743-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMFIELD DENTAL DESIGNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "201-724-2895"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02366100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle C Bloom
• Bloomfield Board of Education
• Bloomfield Care Pharmacy Corp
• Bloomfield College
• Bloomfield Dental Arts, P.C.
• Bloomfield Drugs LLC
• Bloomfield Emergency Medical Services Inc
• Bloomfield Foot & Ankle , LLC
• Bloomfield Health Services, LLC
• Bloomfield Pediatrics,P.a.

• Dental Clinic/Center in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; 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.