Active NPI
Ten10Ten LLC
- General Practice Dentistry
- Summit, NJ
National Provider Identifier
1609173897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02451300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.