Organization Active NPI

Washington Family Dentistry, LLC

  • General Practice Dentistry
  • Washington, NJ
National Provider Identifier
1386657864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01856400 Issued in NJ
Legal business name
WASHINGTON FAMILY DENTISTRY, LLC
Practice address
269 State Route 31 S
Washington, NJ 07882-4086
Phone
(908) 689-5129
Fax
(908) 689-0979
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Thomas Riesenberg, DMD
Title
Dentist
Phone
(908) 689-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI01856400 NJ Primary

Addresses

Primary practice location

269 State Route 31 S
Washington, NJ 07882-4086

Mailing address

269 State Route 31 S
Washington, NJ 07882-4086
Phone (908) 689-5129

Other names 1

  • Washington Family Dentistry Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386657864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 STATE ROUTE 31 S",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824086",
            "telephone_number": "908-689-5129",
            "fax_number": "908-689-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 STATE ROUTE 31 S",
            "city": "WASHINGTON",
            "state": "NJ",
            "postal_code": "078824086",
            "telephone_number": "908-689-5129",
            "fax_number": "908-689-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIESENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "908-689-5129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01856400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.