NPIMap

Organization Active NPI

Irie Dental Spa of the Oranges LLC

  • Dentist
  • East Orange, NJ
National Provider Identifier
1366858862
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI 20510 Issued in NJ
Legal business name
IRIE DENTAL SPA OF THE ORANGES LLC
Practice address
15 Freeman Ave
East Orange, NJ 07018-3429
Phone
(973) 673-4743
Fax
(973) 453-8146
NPI assigned
Jul 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Authorized official

Name
Ruth Parkin, DMD
Title
Dentist
Phone
(973) 673-4743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DI 20510 NJ Primary

Addresses

Primary practice location

15 Freeman Ave
East Orange, NJ 07018-3429

Mailing address

15 Freeman Ave
East Orange, NJ 07018-3429
Phone (973) 673-4743

National Provider Directory

National Provider Directory

Locations

15 Freeman Ave
East Orange, NJ 07018
Phone (973) 673-4743

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": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1366858862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 FREEMAN AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183429",
            "telephone_number": "973-673-4743",
            "fax_number": "973-453-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FREEMAN AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183429",
            "telephone_number": "973-673-4743",
            "fax_number": "973-453-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIE DENTAL SPA OF THE ORANGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "PARKIN",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-673-4743",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI 20510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.