Organization Active NPI

Dental Care of Berlin, LLC

  • Dentist
  • West Berlin, NJ
National Provider Identifier
1306136023
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18248 Issued in NJ
Legal business name
DENTAL CARE OF BERLIN, LLC
Practice address
115 N Route 73
West Berlin, NJ 08091-9202
Phone
(856) 768-5151
Fax
(856) 768-2966
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Betsy Torres
Title
Coordinator
Phone
(856) 691-2553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18248 NJ Primary

Addresses

Primary practice location

115 N Route 73
West Berlin, NJ 08091-9202

Mailing address

115 N Route 73
West Berlin, NJ 08091-9202
Phone (856) 768-5151

National Provider Directory

National Provider Directory

Locations

115 N Route 73
West Berlin, NJ 08091
Phone (856) 335-4938

Practitioners & affiliated clinicians

Practitioners 1

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": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1306136023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919202",
            "telephone_number": "856-768-5151",
            "fax_number": "856-768-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N ROUTE 73",
            "city": "WEST BERLIN",
            "state": "NJ",
            "postal_code": "080919202",
            "telephone_number": "856-768-5151",
            "fax_number": "856-768-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE OF BERLIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "856-691-2553"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "18248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Berlin, NJ

Sources for this page

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