NPIMap

Organization Active NPI

Endowizz, Inc.

  • Endodontics
  • Pennsauken, NJ
National Provider Identifier
1043371123
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
22DI02060100 Issued in NJ
Legal business name
ENDOWIZZ, INC.
Practice address
5105 N Park Dr
Suite 1426
Pennsauken, NJ 08109-4630
Phone
(856) 662-0018
Fax
(856) 662-8318
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Vaughn Clemens, DDS
Title
Ceo
Phone
(856) 662-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 22DI02060100 NJ Primary

Addresses

Primary practice location

5105 N Park Dr
Suite 1426
Pennsauken, NJ 08109-4630

Mailing address

5105 N Park Dr
Suite 1426
Pennsauken, NJ 08109-4630
Phone (856) 662-0018

National Provider Directory

National Provider Directory

Locations

5105 N Park Dr
Ste 1426
Pennsauken, NJ 08109
Phone (856) 662-0018

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043371123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5105 N PARK DR",
            "address_2": "SUITE 1426",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094630",
            "telephone_number": "856-662-0018",
            "fax_number": "856-662-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 N PARK DR",
            "address_2": "SUITE 1426",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094630",
            "telephone_number": "856-662-0018",
            "fax_number": "856-662-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOWIZZ, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMENS",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-662-0018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NJ",
            "license": "22DI02060100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, 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.

Verify at the official NPI Registry.