Organization Active NPI

Dental Center of Jersey City

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1336351212
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CENTER OF JERSEY CITY
Practice address
231 Old Bergen Rd
Jersey City, NJ 07305-2620
Phone
(201) 333-6900
Fax
(201) 333-6360
NPI assigned
May 4, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dwight Alan Raines, D.M.D.
Title
President
Phone
(201) 333-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

231 Old Bergen Rd
Jersey City, NJ 07305-2620

Mailing address

231 Old Bergen Rd
Jersey City, NJ 07305-2620
Phone (201) 333-6900

National Provider Directory

National Provider Directory

Locations

231 Old Bergen Rd
Jersey City, NJ 07305
Phone (201) 333-6900

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1336351212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 OLD BERGEN RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052620",
            "telephone_number": "201-333-6900",
            "fax_number": "201-333-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 OLD BERGEN RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052620",
            "telephone_number": "201-333-6900",
            "fax_number": "201-333-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF JERSEY CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-333-6900",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.