Organization Active NPI

Hidemi Takezawa DDS

  • General Practice Dentistry
  • New Milford, NJ
National Provider Identifier
1720478118
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02521300 Issued in NJ
Legal business name
HIDEMI TAKEZAWA DDS
Practice address
692 Trenton St
New Milford, NJ 07646-2931
Phone
(201) 225-2545
NPI assigned
Jan 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Hidemi Takezawa
Title
Owner
Phone
(201) 225-2545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI02521300 NJ Primary

Addresses

Primary practice location

692 Trenton St
New Milford, NJ 07646-2931

Mailing address

692 Trenton St
New Milford, NJ 07646-2931
Phone (201) 225-2545

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1720478118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "692 TRENTON ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462931",
            "telephone_number": "201-225-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "692 TRENTON ST",
            "city": "NEW MILFORD",
            "state": "NJ",
            "postal_code": "076462931",
            "telephone_number": "201-225-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDEMI TAKEZAWA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-23",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "TAKEZAWA",
        "authorized_official_first_name": "HIDEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-225-2545"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02521300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.