Organization Active NPI

Garrison Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Orange, NJ
National Provider Identifier
1629893805
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GARRISON ORTHODONTICS LLC
Practice address
300 Executive Dr Ste 365
West Orange, NJ 07052-3327
Phone
(862) 451-8117
Fax
(862) 451-8118
NPI assigned
Nov 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Dr. Garrison Eugene Copeland, DDS, MSDNPI 1174891352
Title
Orthodontist
Phone
(862) 451-8117

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

300 Executive Dr Ste 365
West Orange, NJ 07052-3327

Mailing address

300 Executive Dr Ste 365
West Orange, NJ 07052-3327
Phone (862) 451-8117

National Provider Directory

National Provider Directory

Locations

300 Executive Dr
Ste 365
West Orange, NJ 07052
Phone (862) 451-8117

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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1629893805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EXECUTIVE DR STE 365",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523327",
            "telephone_number": "862-451-8117",
            "fax_number": "862-451-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EXECUTIVE DR STE 365",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523327",
            "telephone_number": "862-451-8117",
            "fax_number": "862-451-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRISON ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "GARRISON",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "862-451-8117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.