Organization Active NPI

Veenstra Family Dental

  • Dentist
  • Midland Park, NJ
National Provider Identifier
1154872331
Registry record updated Oct 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI23501 Issued in NJ
Legal business name
VEENSTRA FAMILY DENTAL
Practice address
44 Godwin Ave
Suite 200
Midland Park, NJ 07432-1969
Phone
(201) 447-0300
NPI assigned
Oct 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2016

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

Authorized official

Name
Dr. Eric Veenstra, D.M.D.
Title
Partner
Phone
(201) 790-6003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DI23501 NJ Primary

Addresses

Primary practice location

44 Godwin Ave
Suite 200
Midland Park, NJ 07432-1969

Mailing address

44 Godwin Ave
Suite 200
Midland Park, NJ 07432-1969
Phone (201) 447-0300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477094400000",
    "number": "1154872331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "address_2": "SUITE 200",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-447-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 GODWIN AVE",
            "address_2": "SUITE 200",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321969",
            "telephone_number": "201-447-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEENSTRA FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-22",
        "last_updated": "2016-10-22",
        "status": "A",
        "authorized_official_last_name": "VEENSTRA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-790-6003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI23501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; 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.