Organization Active NPI

Om Dental Art, PC

  • Dentist
  • Paramus, NJ
National Provider Identifier
1720622681
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
OM DENTAL ART, PC
Practice address
27 Madison Ave Ste 110
Paramus, NJ 07652-2722
Phone
(201) 845-5533
NPI assigned
Nov 4, 2019
Last updated
Nov 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Dr. Olga Degtyareva, DDSNPI 1184153009
Title
Dentist
Phone
(201) 845-5533

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

27 Madison Ave Ste 110
Paramus, NJ 07652-2722

Mailing address

27 Madison Ave Ste 110
Paramus, NJ 07652-2722
Phone (201) 845-5533

National Provider Directory

National Provider Directory

Locations

27 Madison Ave
Ste 110
Paramus, NJ 07652
Phone (201) 845-5533

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1720622681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MADISON AVE STE 110",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522722",
            "telephone_number": "201-845-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MADISON AVE STE 110",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522722",
            "telephone_number": "201-845-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM DENTAL ART, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "DEGTYAREVA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-845-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.