Organization Active NPI

Fairfield Family Dental Care

  • Dental Clinic/Center
  • Fairfield, NJ
National Provider Identifier
1689879447
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
15309 Issued in NJ
Legal business name
FAIRFIELD FAMILY DENTAL CARE
Practice address
271 US Highway 46
Suite A101
Fairfield, NJ 07004-2440
Phone
(973) 227-0861
Fax
(973) 227-1666
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Dr. Edward D Gaines, D.M.D.
Title
President
Phone
(973) 227-0861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 15309 NJ Primary

Addresses

Primary practice location

271 US Highway 46
Suite A101
Fairfield, NJ 07004-2440

Mailing address

271 US Highway 46
Suite A101
Fairfield, NJ 07004-2440
Phone (973) 227-0861

National Provider Directory

National Provider Directory

Locations

271 US Highway 46
Ste A101
Fairfield, NJ 07004
Phone (973) 227-0861

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376524800000",
    "number": "1689879447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 US HIGHWAY 46",
            "address_2": "SUITE A101",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-227-0861",
            "fax_number": "973-227-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 US HIGHWAY 46",
            "address_2": "SUITE A101",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042440",
            "telephone_number": "973-227-0861",
            "fax_number": "973-227-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2013-08-15",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-227-0861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "15309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.