Individual provider Active NPI

Lance Viernes, DDS

  • General Practice Dentistry
  • Union, NJ
National Provider Identifier
1629732797
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02868600 Issued in NJ
Practice address
2115 Route 10 West
Union, NJ 07083-8403
Phone
(908) 964-5406
Fax
(908) 964-7298
NPI assigned
Oct 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02868600 NJ Primary

Addresses

Primary practice location

2115 Route 10 West
Union, NJ 07083-8403

Mailing address

185 Prospect Ave Apt 14M
Hackensack, NJ 07601-2265
Phone (732) 421-6185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02868600NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1629732797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 PROSPECT AVE APT 14M",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012265",
            "telephone_number": "732-421-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 ROUTE 10 WEST",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070838403",
            "telephone_number": "908-964-5406",
            "fax_number": "908-964-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERNES",
        "first_name": "LANCE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02868600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.