West End Dental DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WEST END DENTAL DDS PC

Practice address

74-76 Elmora Ave
Elizabeth, NJ 07202

Phone

(908) 659-7300

NPI assigned

Feb 24, 2023

Last updated

Feb 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neetu Bhanushali, DDS

Title

Owner

Phone

(908) 659-7300

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1144929589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 MEADOWBROOK RD",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086912502",
            "telephone_number": "908-659-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-76 ELMORA AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "07202",
            "telephone_number": "908-659-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST END DENTAL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BHANUSHALI",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-659-7300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0790486",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.