Organization Active NPI

New Jersey Dental Group, PC

  • General Practice Dentistry
  • Lancaster, PA
National Provider Identifier
1134597230
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEW JERSEY DENTAL GROUP, PC
Practice address
101 N Pointe Blvd
Suite 202
Lancaster, PA 17601-4108
Phone
(717) 590-1500
Fax
(484) 731-9015
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Jessie Winkler
Title
Revenue Cycle Manager
Phone
(717) 590-1513

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

101 N Pointe Blvd
Suite 202
Lancaster, PA 17601-4108

Mailing address

101 N Pointe Blvd
Suite 202
Lancaster, PA 17601-4108
Phone (717) 590-1500

National Provider Directory

National Provider Directory

Locations

101 N Pointe Blvd
Ste 202
Lancaster, PA 17601
Phone (717) 590-1500

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1134597230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N POINTE BLVD",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014108",
            "telephone_number": "717-590-1500",
            "fax_number": "484-731-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N POINTE BLVD",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014108",
            "telephone_number": "717-590-1500",
            "fax_number": "484-731-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "717-590-1513"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.