Organization Active NPI

Da Vinci Dental Arts, PA

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1508180936
Registry record updated Mar 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02084900 Issued in NJ
Legal business name
DA VINCI DENTAL ARTS, PA
Practice address
102 James St
Suite # 304
Edison, NJ 08820-3970
Phone
(732) 744-1188
Fax
(732) 744-1184
NPI assigned
Mar 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2010

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

Authorized official

Name
Dr. Cristian G Morazan, DDS, MPH
Title
President
Phone
(732) 744-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02084900 NJ Primary

Addresses

Primary practice location

102 James St
Suite # 304
Edison, NJ 08820-3970

Mailing address

102 James St
Suite # 304
Edison, NJ 08820-3970
Phone (732) 744-1188

National Provider Directory

National Provider Directory

Locations

102 James St
Ste 304
Edison, NJ 08820
Phone (732) 243-9274

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": "1268524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268524800000",
    "number": "1508180936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE # 304",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-744-1188",
            "fax_number": "732-744-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JAMES ST",
            "address_2": "SUITE # 304",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203970",
            "telephone_number": "732-744-1188",
            "fax_number": "732-744-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA VINCI DENTAL ARTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-14",
        "last_updated": "2010-03-14",
        "status": "A",
        "authorized_official_last_name": "MORAZAN",
        "authorized_official_first_name": "CRISTIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-744-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MPH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02084900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2010; 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.