Individual provider Active NPI

Luz M Nieto, DMD

  • Dentist
  • North Plainfield, NJ
National Provider Identifier
1811169899
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01698900 Issued in NJ
Practice address
340 Somerset St
North Plainfield, NJ 07060-4730
Phone
(908) 754-2233
Fax
(908) 754-2158
NPI assigned
Mar 30, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI01698900 NJ Primary

Addresses

Primary practice location

340 Somerset St
North Plainfield, NJ 07060-4730

Mailing address

2082 Westfield Ave
Scotch Plains, NJ 07076-1812
Phone (908) 490-0987

Other identifiers 3

IdentifierTypeStateIssuer
22DI01698900OtherNJBRANCH OFFICE LICENSE
DO6209200OtherNJCDS LICENSE
DI016989OtherNJDENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI01698900NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811169899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2082 WESTFIELD AVE",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761812",
            "telephone_number": "908-490-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SOMERSET ST",
            "city": "NORTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070604730",
            "telephone_number": "908-754-2233",
            "fax_number": "908-754-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETO",
        "first_name": "LUZ",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01698900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRANCH OFFICE LICENSE",
            "identifier": "22DI01698900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS LICENSE",
            "identifier": "DO6209200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DI016989",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plainfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.