Organization Active NPI

Morris County Dental Specialty

  • Dental Clinic/Center
  • Morris Plains, NJ
National Provider Identifier
1821227943
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI19246 Issued in NJ
Legal business name
MORRIS COUNTY DENTAL SPECIALTY
Practice address
453 Speedwell Ave
Morris Plains, NJ 07950-2138
Phone
(973) 270-0048
Fax
(973) 270-0049
NPI assigned
Jul 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Michael Nourbakhsh, DDS
Title
Owner
Phone
(973) 455-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DI19246 NJ Primary

Addresses

Primary practice location

453 Speedwell Ave
Morris Plains, NJ 07950-2138

Mailing address

453 Speedwell Ave
Morris Plains, NJ 07950-2138
Phone (973) 270-0048

National Provider Directory

National Provider Directory

Locations

453 Speedwell Ave
Morris Plains, NJ 07950
Phone (856) 986-3512

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1821227943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502138",
            "telephone_number": "973-270-0048",
            "fax_number": "973-270-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 SPEEDWELL AVE",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502138",
            "telephone_number": "973-270-0048",
            "fax_number": "973-270-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS COUNTY DENTAL SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "NOURBAKHSH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-455-1033",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "DI19246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.