Organization Active NPI

Freehold Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Freehold, NJ
National Provider Identifier
1629316054
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02272100 Issued in NJ
Legal business name
FREEHOLD ORTHODONTICS
Practice address
55-77 Schanck Rd
Suite B-15
Freehold, NJ 07728
Phone
(732) 462-0700
NPI assigned
Jan 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Authorized official

Name
Dr. Natalie NebblettNPI 1134112568
Title
Orthodontist
Phone
(732) 462-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 22DI02272100 NJ Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 22DI02223194 NJ

Addresses

Primary practice location

55-77 Schanck Rd
Suite B-15
Freehold, NJ 07728

Mailing address

55-77 Schanck Rd
Suite B-15
Freehold, NJ 07728
Phone (732) 462-0700

National Provider Directory

National Provider Directory

Locations

122 Professional View Dr
Freehold, NJ 07728
Phone (732) 625-8080

55-77 Schanck Rd
Ste B-15
Freehold, NJ 07728
Phone (732) 462-0700

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": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1629316054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD",
            "address_2": "SUITE B-15",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-462-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-77 SCHANCK RD",
            "address_2": "SUITE B-15",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "07728",
            "telephone_number": "732-462-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEHOLD ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "NEBBLETT",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "732-462-0700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02272100",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02223194",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.