NPIMap

Organization Active NPI

Premier Care Dentistry LLC

  • Dentist
  • Hackettstown, NJ
National Provider Identifier
1104412394
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PREMIER CARE DENTISTRY LLC
Practice address
121 Shelley Dr Ste 1E
Hackettstown, NJ 07840-2530
Phone
(908) 813-9700
Fax
(631) 396-0452
NPI assigned
Dec 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Authorized official

Name
Hiro Soriano
Title
Cio
Phone
(631) 414-7927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

121 Shelley Dr Ste 1E
Hackettstown, NJ 07840-2530

Mailing address

135 Pinelawn Rd Ste 150S
Melville, NY 11747-3187
Phone (631) 414-7927

Other names 1

  • Dental365 Hackettstown Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Care Dentistry LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607731200000",
    "number": "1104412394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PINELAWN RD STE 150S",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473187",
            "telephone_number": "631-414-7927",
            "fax_number": "631-396-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SHELLEY DR STE 1E",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402530",
            "telephone_number": "908-813-9700",
            "fax_number": "631-396-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-12",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "HIRO",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "631-414-7927"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental365 Hackettstown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hackettstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.