NPIMap

Organization Active NPI

Pennington Dental Care LLC

  • Dentist
  • Pennington, NJ
National Provider Identifier
1386910040
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23707 Issued in NJ
Legal business name
PENNINGTON DENTAL CARE LLC
Practice address
2425 Pennington Rd
Pennington, NJ 08534-5228
Phone
(718) 915-3713
Fax
(866) 894-5881
NPI assigned
Mar 28, 2012
Last updated
Mar 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Yatin Khanna, DDSNPI 1205049707
Title
Member
Phone
(718) 915-3713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 23707 NJ Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21759 NJ
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 23509 NJ

Addresses

Primary practice location

2425 Pennington Rd
Pennington, NJ 08534-5228

Mailing address

2425 Pennington Rd
Pennington, NJ 08534-5228
Phone (718) 915-3713

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1386910040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345228",
            "telephone_number": "718-915-3713",
            "fax_number": "866-894-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345228",
            "telephone_number": "718-915-3713",
            "fax_number": "866-894-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "YATIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-915-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "23707",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "21759",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "23509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.