Organization Active NPI

Ten10Ten LLC

  • General Practice Dentistry
  • Summit, NJ
National Provider Identifier
1609173897
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02451300 Issued in NJ
Legal business name
TEN10TEN LLC
Practice address
28 Beechwood Rd
Summit, NJ 07901-2532
Phone
(908) 737-1313
Fax
(908) 737-1353
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Carolyn Banks
Title
Officer Manager
Phone
(908) 737-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI02451300 NJ Primary

Addresses

Primary practice location

28 Beechwood Rd
Summit, NJ 07901-2532

Mailing address

28 Beechwood Road
Summite, NJ 07901
Phone (908) 737-1313

Other names 1

  • Summit Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

28 Beechwood Rd
Summit, NJ 07901
Phone (908) 219-7190

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1609173897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 BEECHWOOD ROAD",
            "city": "SUMMITE",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-737-1313",
            "fax_number": "908-737-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 BEECHWOOD RD",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012532",
            "telephone_number": "908-737-1313",
            "fax_number": "908-737-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEN10TEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "908-737-1313"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02451300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.