NPIMap

Organization Active NPI

Dental Illuminations

  • General Practice Dentistry
  • Plainsboro, NJ
National Provider Identifier
1720117849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI20500 Issued in NJ
Legal business name
DENTAL ILLUMINATIONS
Practice address
660 Plainsboro Road
Princeton Meadows Shopping Center
Plainsboro, NJ 08536
Phone
(609) 275-9688
Fax
(609) 275-9673
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Madhavi Venkata Kadiyala, DDSNPI 1487746830
Title
President and Owner Dentist
Phone
(609) 275-9688

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI20500 NJ Primary

Addresses

Primary practice location

660 Plainsboro Road
Princeton Meadows Shopping Center
Plainsboro, NJ 08536

Mailing address

660 Plainsboro Road
Princeton Meadows Shopping Center
Plainsboro, NJ 08536
Phone (609) 275-9688

National Provider Directory

National Provider Directory

Locations

660 Plainsboro Rd
Plainsboro, NJ 08536
Phone (609) 275-9688

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720117849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 PLAINSBORO ROAD",
            "address_2": "PRINCETON MEADOWS SHOPPING CENTER",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "609-275-9688",
            "fax_number": "609-275-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 PLAINSBORO ROAD",
            "address_2": "PRINCETON MEADOWS SHOPPING CENTER",
            "city": "PLAINSBORO",
            "state": "NJ",
            "postal_code": "08536",
            "telephone_number": "609-275-9688",
            "fax_number": "609-275-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ILLUMINATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_middle_name": "VENKATA",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER DENTIST",
        "authorized_official_telephone_number": "609-275-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI20500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainsboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.