NPIMap

Organization Active NPI

Creative Dental Care, PA

  • Dental Clinic/Center
  • Westfield, NJ
National Provider Identifier
1346526654
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI19715-01 Issued in NJ
Legal business name
CREATIVE DENTAL CARE, PA
Practice address
423 South Ave W
Westfield, NJ 07090-1403
Phone
(908) 232-0400
NPI assigned
Oct 31, 2011
Last updated
Oct 31, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Joseph Richard Banker, DMDNPI 1902951585
Title
President
Phone
(908) 232-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DI19715-01 NJ Primary

Addresses

Primary practice location

423 South Ave W
Westfield, NJ 07090-1403

Mailing address

423 South Ave W
Westfield, NJ 07090-1403
Phone (908) 232-0400

National Provider Directory

National Provider Directory

Locations

423 South Ave W
Westfield, NJ 07090
Phone (908) 232-0400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1346526654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901403",
            "telephone_number": "908-232-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SOUTH AVE W",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070901403",
            "telephone_number": "908-232-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTAL CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "BANKER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-232-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI19715-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.