South Plainfield Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DI17700 Issued in NJ

Legal business name

SOUTH PLAINFIELD ORTHODONTICS, LLC

Practice address

1904 Park Ave
South Plainfield, NJ 07080-5524

Phone

(908) 756-5468

Fax

(908) 756-7469

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig Menker, DMD

Title

Sole MBR

Phone

(908) 756-5468

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578639712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805524",
            "telephone_number": "908-756-5468",
            "fax_number": "908-756-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 PARK AVE",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070805524",
            "telephone_number": "908-756-5468",
            "fax_number": "908-756-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PLAINFIELD ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MENKER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "908-756-5468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI17700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sima Solaimanzadeh, M.D.
• Solid Foundation Healthcare Services LLC
• South Plainfield Board of Education
• South Plainfield Day Care
• South Plainfield Dental Arts, LLP
• South Plainfield Pharmacy LLC
• South Plainfield Primary Care
• South Plainfield Radiology Corp
• South Plainfield Rescue Squad Inc
• Sparkle Medical PA

• Orthodontics and Dentofacial Orthopedics Dentistry in South Plainfield, NJ
• Providers in South Plainfield, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• 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.