JC Dental Works LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JC DENTAL WORKS LLC

Practice address

696 Anderson Ave # 2NDF
Cliffside Park, NJ 07010-2079

Phone

(201) 945-1094

Fax

(201) 945-1124

NPI assigned

Apr 16, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Chae, DDSNPI 1376038661

Title

Owner

Phone

(201) 945-1094

Specialties & licenses 1

Addresses

Other names 1

• Bergen Dental Studio Doing business as

Locations

Practitioners 1

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

• Jimmy Chae, DDS

  • General Practice Dentistry
  • Cliffside Park, NJ
  • NPI 1376038661
  NPD Authorized official

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618531200000",
    "number": "1023699444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 KARENS LN",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321905",
            "telephone_number": "201-230-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 ANDERSON AVE # 2NDF",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102079",
            "telephone_number": "201-945-1094",
            "fax_number": "201-945-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC DENTAL WORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-945-1094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.