NPIMap

Organization Active NPI

Edison Amazing Smile Dental LLC

  • General Practice Dentistry
  • Edison, NJ
National Provider Identifier
1609283704
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02559800 Issued in NJ
Legal business name
EDISON AMAZING SMILE DENTAL LLC
Practice address
1907 Oak Tree Rd
Suite 204
Edison, NJ 08820-2070
Phone
(732) 549-0005
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Suraiya Shaikh, DMD
Title
Owner
Phone
(240) 328-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22DI02559800 NJ Primary

Addresses

Primary practice location

1907 Oak Tree Rd
Suite 204
Edison, NJ 08820-2070

Mailing address

1907 Oak Tree Rd
Suite 204
Edison, NJ 08820-2070
Phone (732) 549-0005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1609283704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD",
            "address_2": "SUITE 204",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-549-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 OAK TREE RD",
            "address_2": "SUITE 204",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088202070",
            "telephone_number": "732-549-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON AMAZING SMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "SURAIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-328-5391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02559800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.