NPIMap

Organization Active NPI

George Xenakis, DDS, Palisades Park, LLC

  • Dental Clinic/Center
  • Edison, NJ
National Provider Identifier
1831649201
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI01715600 Issued in NJ
Legal business name
GEORGE XENAKIS, DDS, PALISADES PARK, LLC
Practice address
1723 Route 27
Edison, NJ 08817-3471
Phone
(732) 230-2442
Fax
(844) 243-1905
NPI assigned
Oct 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Dr. George Xenakis, DDS
Title
Owner
Phone
(917) 374-5082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI01715600 NJ Primary

Addresses

Primary practice location

1723 Route 27
Edison, NJ 08817-3471

Mailing address

1723 Route 27
Edison, NJ 08817-3471
Phone (732) 230-2442

Other names 1

  • United Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
George Xenakis DDS Palisades Park LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1723 Route 27
Edison, NJ 08817
Phone (732) 230-2442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1831649201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173471",
            "telephone_number": "732-230-2442",
            "fax_number": "844-243-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173471",
            "telephone_number": "732-230-2442",
            "fax_number": "844-243-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE XENAKIS, DDS, PALISADES PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "XENAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-374-5082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI01715600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "United Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

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