Organization Active NPI

Song Dental Group

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jersey City, NJ
National Provider Identifier
1114842986
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SONG DENTAL GROUP
Practice address
175 Newark Ave Unit 3a-1
Jersey City, NJ 07302-2859
Phone
(626) 848-4471
NPI assigned
Aug 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Dr. Richard Song, DDS
Title
Orthodontist
Phone
(626) 848-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

175 Newark Ave Unit 3a-1
Jersey City, NJ 07302-2859

Mailing address

401 Washington Blvd Apt 2101
Jersey City, NJ 07310-2227

National Provider Directory

National Provider Directory

Locations

175 Newark Ave
Unit 3A1
Jersey City, NJ 07302

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1114842986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WASHINGTON BLVD APT 2101",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073102227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NEWARK AVE UNIT 3A-1",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073022859",
            "telephone_number": "626-848-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "626-848-4471",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.