Diaz Pastrana Dental Associates, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI018824 Issued in NJ

Legal business name

DIAZ PASTRANA DENTAL ASSOCIATES, INC.

Practice address

26 E Maryland Ave
Somers Point, NJ 08244-2451

Phone

(609) 601-9404

Fax

(609) 601-9406

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Conway Diaz, D.M.D.NPI 1497965875

Title

Secretary Treasurer

Phone

(609) 601-9404

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Conway-Diaz, D.M.D.

  • General Practice Dentistry
  • Somers Point, NJ
  • NPI 1497965875
  NPD (past) Authorized official
• Efrain Diaz Pastrana, D.M.D.

  • General Practice Dentistry
  • Somers Point, NJ
  • NPI 1396955159
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386846459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 E MARYLAND AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442451",
            "telephone_number": "609-601-9404",
            "fax_number": "609-601-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MARYLAND AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442451",
            "telephone_number": "609-601-9404",
            "fax_number": "609-601-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ PASTRANA DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONWAY DIAZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "609-601-9404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI018824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna M Desantis, PT
• Nikhil Deshpande, MD
• Melinda S Dettinger
• Upendra S Dhanjal, MD
• Diagnostic Health Corporation
• Efrain Diaz Pastrana, D.M.D.
• Staci Dimattia, LCSW, CADC
• Pat A Dioguardo, ATC CSCS
• Justin Disciascio
• Dina Lyn Ditzel

• General Practice Dentistry in Somers Point, NJ
• Providers in Somers Point, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.