Active NPI
Blooming Smile Dental Association LLC
- Dentist
- Hackensack, NJ
National Provider Identifier
1386466829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BLOOMING SMILE DENTAL ASSOCIATION LLC
- Practice address
- 946 Main St
1St Floor
Hackensack, NJ 07601 - Phone
- (201) 971-8777
- NPI assigned
- Oct 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rola Owies, DMD
- Title
- Owner
- Phone
- (973) 337-7444
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
946 Main St
1St Floor
Hackensack, NJ 07601
Mailing address
946 Main St
1St Floor
Hackensack, NJ 07601
National Provider Directory
National Provider DirectoryLocations
946 Main St
Ste 1
Hackensack, NJ 07601
Phone (201) 971-8777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Paterson, NJ
- NPI 1770258840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1386466829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "946 MAIN ST",
"address_2": "1ST FLOOR",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "946 MAIN ST",
"address_2": "1ST FLOOR",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "201-971-8777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOMING SMILE DENTAL ASSOCIATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-27",
"status": "A",
"authorized_official_last_name": "OWIES",
"authorized_official_first_name": "ROLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-337-7444",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.