Old Bridge Family Orthodontics LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

22DIO46000 Issued in NJ

Legal business name

OLD BRIDGE FAMILY ORTHODONTICS LLC

Practice address

28 Throckmorton LN
Suite 104
Old Bridge, NJ 08857-2558

Phone

(732) 727-6666

Fax

(732) 679-5522

NPI assigned

Apr 26, 2010

Last updated

Apr 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virgil Jason Vives, DDS

Title

Orthodontist

Phone

(732) 727-6666

Specialties & licenses 1

Addresses

Tax ID family

All Star Family Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• All Star Family Orthodontics

  • Dental Clinic/Center
  • Old Bridge, NJ
  • NPI 1417492893
  NPD tax ID

Locations

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1730406109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN",
            "address_2": "SUITE 104",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-727-6666",
            "fax_number": "732-679-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 THROCKMORTON LN",
            "address_2": "SUITE 104",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572558",
            "telephone_number": "732-727-6666",
            "fax_number": "732-679-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD BRIDGE FAMILY ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "VIVES",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "732-727-6666",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DIO46000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Old Bridge Dental Care
• Old Bridge Dental Center
• Old Bridge Dental Practice LLC
• Old Bridge Drugs and Surgicals LLC
• Old Bridge Family Eyecare LLC
• Old Bridge First Aid and Rescue Squad of Madison Township Inc
• Old Bridge Laboratories Inc
• Old Bridge Pediatric Dentistry LLC (Nuva Smile Kids)
• Old Bridge Physical Therapy Associates PC
• Old Bridge RX, LLC (southwood pharmacy)

• Orthodontics and Dentofacial Orthopedics Dentistry in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.