Organization Active NPI

Miracle Dental Associates, LLC

  • General Practice Dentistry
  • Flemington, NJ
National Provider Identifier
1457315822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02029300 Issued in NJ
Legal business name
MIRACLE DENTAL ASSOCIATES, LLC
Practice address
4 Walter E Foran Blvd
Suite 403
Flemington, NJ 08822-4664
Phone
(908) 788-0088
Fax
(908) 788-0086
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Yee, D.D.S.NPI 1730143181
Title
Sole Member/Owner
Phone
(908) 788-0088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02029300 NJ Primary

Addresses

Primary practice location

4 Walter E Foran Blvd
Suite 403
Flemington, NJ 08822-4664

Mailing address

4 Walter E Foran Blvd
Suite 403
Flemington, NJ 08822-4664
Phone (908) 788-0088

National Provider Directory

National Provider Directory

Locations

4 Walter E Foran Blvd
Ste 403
Flemington, NJ 08822
Phone (908) 727-2181

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457315822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD",
            "address_2": "SUITE 403",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224664",
            "telephone_number": "908-788-0088",
            "fax_number": "908-788-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WALTER E FORAN BLVD",
            "address_2": "SUITE 403",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088224664",
            "telephone_number": "908-788-0088",
            "fax_number": "908-788-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE DENTAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "908-788-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02029300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • 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.