NPIMap

Organization Active NPI

PA Dental LLC

  • Dentist
  • Robbinsville, NJ
National Provider Identifier
1295249456
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PA DENTAL LLC
Practice address
17 Main St Ste 301
Robbinsville, NJ 08691-1401
Phone
(732) 213-0036
NPI assigned
Nov 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Authorized official

Name
Ricken Patel, DMDNPI 1396005203
Title
Owner
Phone
(732) 213-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

17 Main St Ste 301
Robbinsville, NJ 08691-1401

Mailing address

1 Executive Dr Ste 103
Monmouth Junction, NJ 08852-2446
Phone (732) 422-8668

Other identifiers 2

IdentifierTypeStateIssuer
1912280306OtherNJDENTAL OFFICE
1396005203OtherNJDENTAL OFFICE

Other names 1

  • Mercer Smiles Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1 Executive Dr
Ste 103
Monmouth Junction, NJ 08852
Phone (732) 422-8668

17 Main St
Ste 301
Robbinsville, NJ 08691
Phone (732) 213-0036

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1295249456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE DR STE 103",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "088522446",
            "telephone_number": "732-422-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAIN ST STE 301",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911401",
            "telephone_number": "732-213-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RICKEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-213-0036",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "1912280306",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL OFFICE",
            "identifier": "1396005203",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Smiles Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.