Organization Active NPI

Belle Mead Orthodontic Care PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Belle Mead, NJ
National Provider Identifier
1063497154
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10683NJ Issued in NJ
Legal business name
BELLE MEAD ORTHODONTIC CARE PA
Practice address
2230 Route 206
Belle Mead, NJ 08502-4020
Phone
(908) 874-8360
Fax
(908) 874-5985
NPI assigned
Dec 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Richard D'Avanzo, DDSNPI 1235763343
Title
Owner/Dentist
Phone
(609) 709-0107

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 10683NJ NJ Primary

Addresses

Primary practice location

2230 Route 206
Belle Mead, NJ 08502-4020

Mailing address

2230 Route 206
Belle Mead, NJ 08502-4020
Phone (908) 874-8360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260216000101 NJ DME Supplier - Oral Surgery - Dentist 6507346988 Practice locations: Belle Mead, NJ

National Provider Directory

National Provider Directory

Locations

2230 US Highway 206
Belle Mead, NJ 08502
Phone (908) 874-8360

Practitioners & affiliated clinicians

Practitioners 1

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": "1134345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1063497154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 206",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024020",
            "telephone_number": "908-874-8360",
            "fax_number": "908-874-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 206",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024020",
            "telephone_number": "908-874-8360",
            "fax_number": "908-874-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLE MEAD ORTHODONTIC CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-12",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "D'AVANZO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "609-709-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "10683NJ",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Mead, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.