NPIMap

Organization Active NPI

Kearny Dental Care PC

  • Dental Clinic/Center
  • Kearny, NJ
National Provider Identifier
1629862487
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KEARNY DENTAL CARE PC
Practice address
17 Kearny Ave
Kearny, NJ 07032-2332
Phone
(201) 955-0181
Fax
(201) 955-0181
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
David Lac, DDSNPI 1972640613
Title
Owner
Phone
(201) 955-0181

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

17 Kearny Ave
Kearny, NJ 07032-2332

Mailing address

17 Kearny Ave
Kearny, NJ 07032-2332
Phone (201) 955-0181

National Provider Directory

National Provider Directory

Locations

17 Kearny Ave
Kearny, NJ 07032
Phone (201) 955-0181

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1629862487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322332",
            "telephone_number": "201-955-0181",
            "fax_number": "201-955-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 KEARNY AVE",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070322332",
            "telephone_number": "201-955-0181",
            "fax_number": "201-955-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "LAC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-955-0181",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.