All Star Family Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22D102246000 Issued in NJ

Legal business name

ALL STAR FAMILY ORTHODONTICS

Practice address

3331 US Highway 9
Old Bridge, NJ 08857-2691

Phone

(732) 727-6666

NPI assigned

Dec 21, 2016

Last updated

Dec 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Virgil Jason Vives, DDS

Title

Owner

Phone

(732) 727-6666

Specialties & licenses 1

Addresses

Tax ID family

All Star Family Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Old Bridge Family Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Old Bridge, NJ
  • NPI 1730406109
  NPD tax ID

Locations

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482278400000",
    "number": "1417492893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 HIGHWAY 9 N",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-727-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 US HIGHWAY 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572691",
            "telephone_number": "732-727-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL STAR FAMILY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-21",
        "last_updated": "2016-12-21",
        "status": "A",
        "authorized_official_last_name": "VIVES",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-727-6666",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22D102246000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alabrami Dental Care,PC
• Aladin Dental Services LLC
• Ilona Aleksandrovich, DDS
• Dixie Alexander
• All Be Healthy LLC (Alliance Orthopedics)
• Alexandra Marie Allanigue, RN, AGACNP-BC
• John Raymond Allen, D.C.
• Marvin Allen
• Alliance Assist, LLC
• Allies, Inc.

• Dental Clinic/Center in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.