Organization Active NPI

Muktajeevan Dental Arts, LLC

  • Dental Clinic/Center
  • East Windsor, NJ
National Provider Identifier
1124380167
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02305200 Issued in NJ
Legal business name
MUKTAJEEVAN DENTAL ARTS, LLC
Practice address
104 Hickory Corner Rd Ste 202
East Windsor, NJ 08520-2460
Phone
(609) 336-7735
NPI assigned
Jun 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Dr. Snehal Patel, D.M.D.
Title
Owner/Dentist
Phone
(609) 336-7735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02305200 NJ Primary

Addresses

Primary practice location

104 Hickory Corner Rd Ste 202
East Windsor, NJ 08520-2460

Mailing address

104 Hickory Corner Rd Ste 202
East Windsor, NJ 08520-2460
Phone (609) 336-7735

Other identifiers 1

IdentifierTypeStateIssuer
0207675MedicaidNJ

Other names 1

  • East Windsor Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

104 Hickory Corner Rd
Ste 202
East Windsor, NJ 08520
Phone (609) 336-7735

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1124380167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 HICKORY CORNER RD STE 202",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202460",
            "telephone_number": "609-336-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HICKORY CORNER RD STE 202",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202460",
            "telephone_number": "609-336-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUKTAJEEVAN DENTAL ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SNEHAL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "609-336-7735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02305200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207675",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Windsor Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.