NPIMap

Organization Active NPI

Brickworks Dental, LLC

  • General Practice Dentistry
  • Mays Landinbg, NJ
National Provider Identifier
1649529124
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRICKWORKS DENTAL, LLC
Practice address
5429 Harding Hwy.
Suite 101
Mays Landinbg, NJ 08330-2263
Phone
(609) 625-0505
Fax
(609) 625-8002
NPI assigned
Aug 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Authorized official

Name
Mr. Raymond Frank Mensh
Title
Controller
Phone
(609) 625-0505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5429 Harding Hwy.
Suite 101
Mays Landinbg, NJ 08330-2263

Mailing address

5429 Harding Hwy.
Suite 101
Mays Landinbg, NJ 08330-2263
Phone (609) 625-0505

National Provider Directory

National Provider Directory

Locations

5429 Harding Hwy
Ste 101
Mays Landing, NJ 08330
Phone (609) 625-0505

Practitioners & affiliated clinicians

Practitioners 4

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": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1649529124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY.",
            "address_2": "SUITE 101",
            "city": "MAYS LANDINBG",
            "state": "NJ",
            "postal_code": "083302263",
            "telephone_number": "609-625-0505",
            "fax_number": "609-625-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 HARDING HWY.",
            "address_2": "SUITE 101",
            "city": "MAYS LANDINBG",
            "state": "NJ",
            "postal_code": "083302263",
            "telephone_number": "609-625-0505",
            "fax_number": "609-625-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRICKWORKS DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "MENSH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "609-625-0505",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.