Organization Active NPI

Ragan Dental Enterprises

Doing business as Clinton Center Dental

  • Dentist
  • Annandale, NJ
National Provider Identifier
1477028769
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RAGAN DENTAL ENTERPRISES
Doing business as
Clinton Center Dental
Practice address
1465 Route 31 South
Suite 29
Annandale, NJ 08801
Phone
(908) 730-7565
Fax
(908) 730-7965
NPI assigned
Oct 12, 2018
Last updated
Oct 12, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
RAGAN DENTAL ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Dr. Christopher G Lota, DMD
Title
Owner
Phone
(201) 788-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1465 Route 31 South
Suite 29
Annandale, NJ 08801

Mailing address

296 Oldwoods Rd
Franklin Lakes, NJ 07417-1114
Phone (201) 788-2607

Other names 1

  • Clinton Center Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Ragan Dental Enterprises

Locations

1465 Route 31 S
Ste 29
Annandale, NJ 08801
Phone (908) 730-7565

Practitioners & affiliated clinicians

Practitioners 1

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": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1477028769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 OLDWOODS RD",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171114",
            "telephone_number": "201-788-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 ROUTE 31 SOUTH",
            "address_2": "SUITE 29",
            "city": "ANNANDALE",
            "state": "NJ",
            "postal_code": "08801",
            "telephone_number": "908-730-7565",
            "fax_number": "908-730-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGAN DENTAL ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAGAN DENTAL ENTERPRISES",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "LOTA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-788-2607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinton Center Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annandale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.