NPIMap

Organization Active NPI

Waldwick Dental Center

  • Dental Clinic/Center
  • Waldwick, NJ
National Provider Identifier
1639387046
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
19318 Issued in NJ
Legal business name
WALDWICK DENTAL CENTER
Practice address
22 Wyckoff Ave
Waldwick, NJ 07463-1718
Phone
(201) 447-3210
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Dr. Steven L Kim, D.D.SNPI 1164829859
Title
Owner
Phone
(201) 447-3210

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 19318 NJ Primary

Addresses

Primary practice location

22 Wyckoff Ave
Waldwick, NJ 07463-1718

Mailing address

22 Wyckoff Ave
Waldwick, NJ 07463-1718
Phone (201) 447-3210

National Provider Directory

National Provider Directory

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1639387046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WYCKOFF AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631718",
            "telephone_number": "201-447-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WYCKOFF AVE",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631718",
            "telephone_number": "201-447-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDWICK DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-447-3210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "19318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.