Organization Active NPI

Community Dental of North Brunswick

  • General Practice Dentistry
  • North Brunswick, NJ
National Provider Identifier
1104349232
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI02048700 Issued in NJ
Legal business name
COMMUNITY DENTAL OF NORTH BRUNSWICK
Practice address
566 Milltown Road
North Brunswick, NJ 08902
Phone
(732) 543-1184
NPI assigned
Jul 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Authorized official

Name
Todd Prager, DDS
Title
Co-Owner
Phone
(917) 273-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI02048700 NJ Primary

Addresses

Primary practice location

566 Milltown Road
North Brunswick, NJ 08902

Mailing address

566 Milltown Road
North Brunswick, NJ 08902
Phone (732) 543-1184

National Provider Directory

National Provider Directory

Locations

222 High St
Ste 205
Newton, NJ 07860
Phone (973) 579-4060

566 Milltown Rd
North Brunswick, NJ 08902
Phone (732) 543-1184

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": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1104349232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 MILLTOWN ROAD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-543-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 MILLTOWN ROAD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "08902",
            "telephone_number": "732-543-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY DENTAL OF NORTH BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "PRAGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "917-273-5119",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI02048700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.