Jersey Smiles

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

JERSEY SMILES

Practice address

3000 Kennedy Blvd
Jersey City, NJ 07306-3817

Phone

(201) 659-7717

Fax

(201) 659-9633

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shankar Iyer, DDS MDS

Title

President

Phone

(201) 659-7717

Specialties & licenses 3

Addresses

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.

• Sirisha Reddy Chitlu, D.D.S

  • Dentist
  • Jersey City, NJ
  • NPI 1306149752
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1578715702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063817",
            "telephone_number": "201-659-7717",
            "fax_number": "201-659-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063817",
            "telephone_number": "201-659-7717",
            "fax_number": "201-659-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERSEY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "SHANKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-659-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Liberty Radiology, P.C.
• Jersey Meds Pharmacy Inc (jersey meds pharmacy)
• Jersey Meds Pharmacy Inc
• Jersey Neurosciences
• Jersey Premier Pain
• Jersey Spine & Orthopedics PC
• Jersey Women's Care Center, Inc
• Jerseyjiva LLC (Jivamukti Yoga Center Jersey City)
• Paaneri Atul Jethwa
• Siva Teja Jetty, M.D

• Prosthodontics in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.