NPIMap

Organization Active NPI

Pulido Dental Care

  • Dentist
  • Brick, NJ
National Provider Identifier
1609275957
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102582900 Issued in NJ
Legal business name
PULIDO DENTAL CARE
Practice address
35 Beaverson Blvd
Building 2 Suite D
Brick, NJ 08723-7812
Phone
(732) 477-7272
Fax
(732) 477-1182
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2014

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

Authorized official

Name
Dr. Hernando Pulido, D.D.S
Title
President
Phone
(732) 477-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22D102582900 NJ Primary

Addresses

Primary practice location

35 Beaverson Blvd
Building 2 Suite D
Brick, NJ 08723-7812

Mailing address

35 Beaverson Blvd
Building 2 Suite D
Brick, NJ 08723-7812
Phone (732) 477-7272

National Provider Directory

National Provider Directory

Locations

35 Beaverson Blvd
Ste 2D
Brick, NJ 08723
Phone (732) 477-7272

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": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1609275957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "BUILDING 2 SUITE D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-477-7272",
            "fax_number": "732-477-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BEAVERSON BLVD",
            "address_2": "BUILDING 2 SUITE D",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087237812",
            "telephone_number": "732-477-7272",
            "fax_number": "732-477-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULIDO DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "PULIDO",
        "authorized_official_first_name": "HERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-477-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102582900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.