Active NPI
Kelner Periodontics
- Dentist
- Clark, NJ
National Provider Identifier
1396096855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22D102321200
- Legal business name
- KELNER PERIODONTICS
- Practice address
- 1119 Raritan Rd
Clark, NJ 07066 - Phone
- (908) 753-4427
- Fax
- (908) 756-7019
- NPI assigned
- Sep 25, 2012
- 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
- Danielle B. Kelner, D.M.D
- Title
- Owner
- Phone
- (732) 382-9090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22D102321200 | NJ | Primary |
Addresses
Primary practice location
1119 Raritan Rd
Clark, NJ 07066
Mailing address
1119 Raritan Rd
Clark, NJ 07066
Phone (732) 382-9090
National Provider Directory
National Provider Directory- Tax ID family
- Kelner Periodontics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Periodontics
- Clark, NJ
- NPI 1205215050
Locations
1119 Raritan Rd
Clark, NJ 07066
Phone (732) 396-1881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348531200000",
"number": "1396096855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 RARITAN RD",
"city": "CLARK",
"state": "NJ",
"postal_code": "07066",
"telephone_number": "732-382-9090",
"fax_number": "732-396-1527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 RARITAN RD",
"city": "CLARK",
"state": "NJ",
"postal_code": "07066",
"telephone_number": "908-753-4427",
"fax_number": "908-756-7019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELNER PERIODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-25",
"last_updated": "2012-09-25",
"status": "A",
"authorized_official_last_name": "KELNER",
"authorized_official_first_name": "DANIELLE",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-382-9090",
"authorized_official_credential": "D.M.D"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "22D102321200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.