Atlantic Endodontics LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ATLANTIC ENDODONTICS LLC

Practice address

235 E. Jimmie Leeds Road
Galloway, NJ 08205

Phone

(609) 568-6415

Fax

(609) 568-6413

NPI assigned

Mar 7, 2013

Last updated

Mar 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neha Shah, DMD

Title

Owner

Phone

(609) 568-6415

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1659612158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E. JIMMIE LEEDS ROAD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-568-6415",
            "fax_number": "609-568-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E. JIMMIE LEEDS ROAD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "08205",
            "telephone_number": "609-568-6415",
            "fax_number": "609-568-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-568-6415",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.