NPIMap

Organization Active NPI

Dna Dental

  • Dental Assistant
  • Livingston, NJ
National Provider Identifier
1093874760
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
22D101996200 Issued in NJ
Legal business name
DNA DENTAL
Practice address
349 East Northfield Rd
Suite #207
Livingston, NJ 07039
Phone
(973) 535-4300
Fax
(973) 535-4308
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Mrs. Keyanna T Ingrau
Title
Office Manager
Phone
(973) 535-4300

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X 22D101996200 NJ Primary

Addresses

Primary practice location

349 East Northfield Rd
Suite #207
Livingston, NJ 07039

Mailing address

349 E. Northfield Rd
Suite #207
Livingston, NJ 07039
Phone (973) 535-4300

National Provider Directory

National Provider Directory
Tax ID family
Dna Dental2 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

349 E Northfield Rd
Ste 207
Livingston, NJ 07039
Phone (973) 535-4300

Practitioners & affiliated clinicians

Practitioners 2

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1093874760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 E. NORTHFIELD RD",
            "address_2": "SUITE #207",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-535-4300",
            "fax_number": "973-535-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 EAST NORTHFIELD RD",
            "address_2": "SUITE #207",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-535-4300",
            "fax_number": "973-535-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "INGRAU",
        "authorized_official_first_name": "KEYANNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-535-4300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "NJ",
            "license": "22D101996200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.