Organization Active NPI

Advanced Dental Care of Englewood

  • Dental Clinic/Center
  • Englewood, NJ
National Provider Identifier
1760820047
Registry record updated Jun 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02337200 Issued in NJ
Legal business name
ADVANCED DENTAL CARE OF ENGLEWOOD
Practice address
177 N Dean St Ste 206
Englewood, NJ 07631-2523
Phone
(201) 227-3368
Fax
(201) 227-3371
NPI assigned
Jun 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2013

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

Authorized official

Name
Dr. Adrijana Miksa, D.M.D
Title
President
Phone
(201) 227-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02337200 NJ Primary

Addresses

Primary practice location

177 N Dean St Ste 206
Englewood, NJ 07631-2523

Mailing address

177 N Dean St Ste 206
Englewood, NJ 07631-2523
Phone (201) 227-3368

National Provider Directory

National Provider Directory

Locations

177 N Dean St
Ste 206
Englewood, NJ 07631
Phone (201) 227-3368

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1760820047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST STE 206",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312523",
            "telephone_number": "201-227-3368",
            "fax_number": "201-227-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N DEAN ST STE 206",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312523",
            "telephone_number": "201-227-3368",
            "fax_number": "201-227-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DENTAL CARE OF ENGLEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "MIKSA",
        "authorized_official_first_name": "ADRIJANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-227-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02337200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.