Active NPI
Best Impressions Dental
- Durable Medical Equipment & Medical Supplies
- Forked River, NJ
National Provider Identifier
1609497262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BEST IMPRESSIONS DENTAL
- Practice address
- 321 Lacey Rd
Forked River, NJ 08731-2617 - Phone
- (609) 693-9166
- NPI assigned
- May 5, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Katelyn Campbell, DDS
- Title
- Owner
- Phone
- (908) 433-8641
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Forked River, NJ
- NPI 1205902996
National Provider Directory
National Provider DirectoryLocations
321 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-9166
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
321 Lacey Rd
Forked River, NJ 08731-2617
Mailing address
321 Lacey Rd
Forked River, NJ 08731-2617
Phone (609) 693-9166
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.bestimpressionsnj.com | Direct |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2020.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606867200000",
"number": "1609497262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 LACEY RD",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087312617",
"telephone_number": "609-693-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 LACEY RD",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087312617",
"telephone_number": "609-693-9166"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEST IMPRESSIONS DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-05",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "KATELYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-433-8641",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.bestimpressionsnj.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "321 Lacey Rd",
"city": "Forked River",
"state": "NJ",
"country_code": "US",
"postal_code": "087312617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.