NPIMap

Organization Active NPI

Comprehensive Dental Assoc.

  • General Practice Dentistry
  • Old Bridge, NJ
National Provider Identifier
1104476795
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COMPREHENSIVE DENTAL ASSOC.
Practice address
400 Perrine Rd Ste 410
Old Bridge, NJ 08857-2811
Phone
(732) 727-7600
Fax
(732) 727-6428
NPI assigned
Sep 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Rachna DograNPI 1346259462
Title
Owner
Phone
(732) 727-7600

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

400 Perrine Rd Ste 410
Old Bridge, NJ 08857-2811

Mailing address

400 Perrine Rd Ste 410
Old Bridge, NJ 08857-2811
Phone (732) 727-7600

National Provider Directory

National Provider Directory

Locations

400 Perrine Rd
Ste 410
Old Bridge, NJ 08857
Phone (732) 727-7600

Practitioners & affiliated clinicians

Practitioners 3

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": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1104476795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD STE 410",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572811",
            "telephone_number": "732-727-7600",
            "fax_number": "732-727-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PERRINE RD STE 410",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572811",
            "telephone_number": "732-727-7600",
            "fax_number": "732-727-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTAL ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "DOGRA",
        "authorized_official_first_name": "RACHNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-727-7600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.