Active NPI
Hidemi Takezawa DDS
- General Practice Dentistry
- New Milford, NJ
National Provider Identifier
1720478118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02521300
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.