Organization Active NPI

Heritage Family Dental LLC

  • Dental Clinic/Center
  • Point Pleasant Boro, NJ
National Provider Identifier
1457749657
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI 02331300 Issued in NJ
Legal business name
HERITAGE FAMILY DENTAL LLC
Practice address
842 Arnold Ave
Point Pleasant Boro, NJ 08742-2457
Phone
(732) 295-8899
NPI assigned
Dec 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
Dr. Peter FamNPI 1699833285
Title
Doctor and Owner
Phone
(732) 295-8899

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
Dental Clinic/Center 261QD0000X 22DI 02331300 NJ Primary

Addresses

Primary practice location

842 Arnold Ave
Point Pleasant Boro, NJ 08742-2457

Mailing address

842 Arnold Ave
Point Pleasant Boro, NJ 08742-2457

Other names 1

  • Peter Fam Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1457749657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 ARNOLD AVE",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087422457",
            "telephone_number": "732-295-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "FAM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "DOCTOR AND OWNER",
        "authorized_official_telephone_number": "732-295-8899",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI 02331300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peter Fam Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Point Pleasant Boro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.