Organization Active NPI

Supersmiles Dental, LLC

Doing business as Sparta Dental Associates

  • Dentist
  • Sparta, NJ
National Provider Identifier
1861933194
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DIO18446 Issued in NJ
Legal business name
SUPERSMILES DENTAL, LLC
Doing business as
Sparta Dental Associates
Practice address
332 Sparta Ave
Sparta, NJ 07871-1112
Phone
(973) 729-7200
NPI assigned
Mar 20, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Dr. Jay Cazes, DDS
Title
President
Phone
(973) 729-7200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DIO18446 NJ Primary
Dentist 122300000X DIO18449 NJ

Addresses

Primary practice location

332 Sparta Ave
Sparta, NJ 07871-1112

Mailing address

332 Sparta Ave
Sparta, NJ 07871-1112
Phone (973) 729-7200

Other names 1

  • Sparta Dental Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1861933194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711112",
            "telephone_number": "973-729-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SPARTA AVE",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711112",
            "telephone_number": "973-729-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERSMILES DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "CAZES",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-729-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DIO18446",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DIO18449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparta Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.