NPIMap

Organization Active NPI

Bridgesmilesdental

  • Dental Clinic/Center
  • Somerville, NJ
National Provider Identifier
1003282369
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02614400 Issued in NJ
Legal business name
BRIDGESMILESDENTAL
Practice address
15 N Bridge St
Somerville, NJ 08876-2110
Phone
(908) 725-0400
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Dr. Suman Chennadi, DMDNPI 1689045924
Title
Dentist
Phone
(417) 693-2660

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 22DI02614400 NJ Primary

Addresses

Primary practice location

15 N Bridge St
Somerville, NJ 08876-2110

Mailing address

15 N Bridge St
Somerville, NJ 08876-2110
Phone (908) 725-0400

National Provider Directory

National Provider Directory
Tax ID family
Bridge Smiles Dental Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15 N Bridge St
Somerville, NJ 08876
Phone (908) 725-0400

Practitioners & affiliated clinicians

Practitioners 4

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1003282369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N BRIDGE ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762110",
            "telephone_number": "908-725-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N BRIDGE ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762110",
            "telephone_number": "908-725-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGESMILESDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "CHENNADI",
        "authorized_official_first_name": "SUMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-693-2660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02614400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.