Organization Active NPI

Blair Schachtel Dental PC

  • General Practice Dentistry
  • Livingston, NJ
National Provider Identifier
1396963971
Registry record updated Feb 24, 2015
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI 19834 Issued in NJ
Legal business name
BLAIR SCHACHTEL DENTAL PC
Practice address
66 E Mount Pleasant Ave
Livingston, NJ 07039-3004
Phone
(973) 325-3500
NPI assigned
Apr 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Authorized official

Name
Dr. Blair Adam Schachtel, DMD
Title
Owner
Phone
(973) 325-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI 19834 NJ Primary

Addresses

Primary practice location

66 E Mount Pleasant Ave
Livingston, NJ 07039-3004

Mailing address

66 East Mt.Pleasant Avenue
Livingston, NJ 07039
Phone (973) 325-3500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1396963971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 EAST MT.PLEASANT AVENUE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-325-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E MOUNT PLEASANT AVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393004",
            "telephone_number": "973-325-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR SCHACHTEL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-21",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "SCHACHTEL",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-325-3500",
        "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": "DI 19834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.