Individual provider Active NPI

Nesrin Esen Dagli, DMD

  • Dentist
  • North Brunswick, NJ
National Provider Identifier
1659850139
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02725800 Issued in NJ
Practice address
1626 US Highway 130 Ste E
North Brunswick, NJ 08902-3035
Phone
(732) 504-8400
Fax
(732) 504-8401
NPI assigned
Aug 7, 2018
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02725800 NJ Primary
Dentist 122300000X DS042697 PA

Addresses

Primary practice location

1626 US Highway 130 Ste E
North Brunswick, NJ 08902-3035

Mailing address

6 Cooks Cor
Plainsboro, NJ 08536-2557
Phone (973) 979-1884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181220001357 NJ Order and Referring Only - DentistPractitioner - Dentist 0547505489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02725800NJMDDentist
DS042697PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1659850139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COOKS COR",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "085362557",
            "telephone_number": "973-979-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 US HIGHWAY 130 STE E",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023035",
            "telephone_number": "732-504-8400",
            "fax_number": "732-504-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGLI",
        "first_name": "NESRIN",
        "middle_name": "ESEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2021-01-21",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02725800",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.