NPIMap

Organization Active NPI

Imagine Advanced Dental Arts PA

  • General Practice Dentistry
  • Lawrenceville, NJ
National Provider Identifier
1467473439
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D101097500 Issued in NJ
Legal business name
IMAGINE ADVANCED DENTAL ARTS PA
Practice address
3100 Princeton Pike
BLDG 2 1St Floor
Lawrenceville, NJ 08648-2300
Phone
(609) 896-0589
Fax
(609) 895-1591
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Ms. Sandra Hilt
Title
Financial Co-Ordinator
Phone
(609) 896-0589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22D101097500 NJ Primary

Addresses

Primary practice location

3100 Princeton Pike
BLDG 2 1St Floor
Lawrenceville, NJ 08648-2300

Mailing address

3100 Princeton Pike
BLDG 2 1St Floor
Lawrenceville, NJ 08648-2300
Phone (609) 896-0589

National Provider Directory

National Provider Directory

Locations

3100 Princeton Pike
Bldg 2
Lawrenceville, NJ 08648
Phone (609) 896-0589

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1467473439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BLDG 2 1ST FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-896-0589",
            "fax_number": "609-895-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 PRINCETON PIKE",
            "address_2": "BLDG 2 1ST FLOOR",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482300",
            "telephone_number": "609-896-0589",
            "fax_number": "609-895-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE ADVANCED DENTAL ARTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "HILT",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "FINANCIAL CO-ORDINATOR",
        "authorized_official_telephone_number": "609-896-0589",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D101097500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.