NPIMap

Organization Active NPI

West Creek Dental, LLC

  • General Practice Dentistry
  • West Creek, NJ
National Provider Identifier
1356941884
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEST CREEK DENTAL, LLC
Practice address
524 S Main St
West Creek, NJ 08092-3123
Phone
(609) 597-9290
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Authorized official

Name
Dr. Sean Martin, DMDNPI 1609992619
Title
President
Phone
(609) 597-9290

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

524 S Main St
West Creek, NJ 08092-3123

Mailing address

524 S Main St
West Creek, NJ 08092-3123
Phone (609) 597-9290

Other names 1

  • Ocean Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Island Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

508 Long Beach Blvd
Ship Bottom, NJ 08008
Phone (609) 597-9290

524 S Route 9
West Creek, NJ 08092
Phone (609) 597-9290

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": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1356941884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080923123",
            "telephone_number": "609-597-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S MAIN ST",
            "city": "WEST CREEK",
            "state": "NJ",
            "postal_code": "080923123",
            "telephone_number": "609-597-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CREEK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-597-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ocean Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ocean Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Creek, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.