Organization Active NPI

In Network Dental, LLC

  • Preferred Provider Organization
  • River Edge, NJ
National Provider Identifier
1174717631
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
22DI02333100 Issued in NJ
Legal business name
IN NETWORK DENTAL, LLC
Practice address
1060 Main St
Suite 100
River Edge, NJ 07661-2591
Phone
(201) 342-2543
NPI assigned
Aug 28, 2007
Organization subpart
Yes
Parent organization
IN NETWORK DENTAL, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Dr. Kenneth Feiler, D.M.D.
Title
Owner
Phone
(201) 342-2543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 22DI02333100 NJ Primary

Addresses

Primary practice location

1060 Main St
Suite 100
River Edge, NJ 07661-2591

Mailing address

1060 Main St
Suite 100
River Edge, NJ 07661-2591
Phone (201) 342-2543

National Provider Directory

National Provider Directory
Tax ID family
In Network Dental LLC3 organizations share this tax ID, including this one
Part of
In Network Dental LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1060 Main St
Ste 100
River Edge, NJ 07661
Phone (201) 342-2543

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1174717631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST",
            "address_2": "SUITE 100",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "201-342-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST",
            "address_2": "SUITE 100",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "201-342-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN NETWORK DENTAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IN NETWORK DENTAL, LLC",
        "enumeration_date": "2007-08-28",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "FEILER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-342-2543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "22DI02333100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.