Active NPI
Muktajeevan Dental Arts, LLC
- Dental Clinic/Center
- East Windsor, NJ
National Provider Identifier
1124380167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 22DI02305200
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0207675 | Medicaid | NJ |
Other names 1
- East Windsor Dental Arts
National Provider Directory
National Provider DirectoryLocations
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.