Organization Active NPI

Your Expressions Family Dentistry,LLC

  • Dental Clinic/Center
  • North Brunswick, NJ
National Provider Identifier
1649673138
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02533400 Issued in NJ
Legal business name
YOUR EXPRESSIONS FAMILY DENTISTRY,LLC
Practice address
2864 Route 27
Suite B
North Brunswick, NJ 08902-5010
Phone
(732) 297-6111
Fax
(732) 297-7177
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Pallavi Chellur, DMDNPI 1386909992
Title
Dentist
Phone
(732) 297-6111

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 22DI02533400 NJ Primary

Addresses

Primary practice location

2864 Route 27
Suite B
North Brunswick, NJ 08902-5010

Mailing address

2864 Route 27
Suite B
North Brunswick, NJ 08902-5010
Phone (732) 297-6111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1649673138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 ROUTE 27",
            "address_2": "SUITE B",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025010",
            "telephone_number": "732-297-6111",
            "fax_number": "732-297-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2864 ROUTE 27",
            "address_2": "SUITE B",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025010",
            "telephone_number": "732-297-6111",
            "fax_number": "732-297-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR EXPRESSIONS FAMILY DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "CHELLUR",
        "authorized_official_first_name": "PALLAVI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-297-6111",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02533400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.