Active NPI
David a. Dersh, D.M.D., P.a.
- General Practice Dentistry
- Westfield, NJ
National Provider Identifier
1053533729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14637
- Legal business name
- DAVID A. DERSH, D.M.D., P.A.
- Practice address
- 263 Walnut St
Westfield, NJ 07090 - Phone
- (908) 232-8455
- NPI assigned
- May 3, 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
- Dr. David A Dersh, DMD
- Title
- Owner
- Phone
- (908) 232-8455
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14637 | NJ | Primary |
Addresses
Primary practice location
263 Walnut St
Westfield, NJ 07090
Mailing address
263 Walnut St
Westfield, NJ 07090
Phone (908) 232-8455
Other names 1
- Malcolm-Dersh, P.A.
National Provider Directory
National Provider DirectoryLocations
263 Walnut St
Westfield, NJ 07090
Phone (908) 232-8455
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Westfield, NJ
- NPI 1518188424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1053533729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 WALNUT ST",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "07090",
"telephone_number": "908-232-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 WALNUT ST",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "07090",
"telephone_number": "908-232-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID A. DERSH, D.M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DERSH",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-232-8455",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "14637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Malcolm-Dersh, P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Westfield, 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.