Organization Active NPI

Healthy Smiles Dental Associates LLC

  • Dentist
  • Metuchen, NJ
National Provider Identifier
1245643493
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02540300 Issued in NJ
Legal business name
HEALTHY SMILES DENTAL ASSOCIATES LLC
Practice address
295 Main St
Metuchen, NJ 08840-2428
Phone
(732) 226-0568
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Paresh R Patel, DDS
Title
Ceo
Phone
(732) 754-2829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI02540300 NJ Primary

Addresses

Primary practice location

295 Main St
Metuchen, NJ 08840-2428

Mailing address

295 Main St
Metuchen, NJ 08840-2428

National Provider Directory

National Provider Directory

Locations

295 Main St
Metuchen, NJ 08840
Phone (732) 226-0568

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1245643493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402428",
            "telephone_number": "732-226-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-754-2829",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02540300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.