Organization Active NPI

Dental Illuminations of Hopewell

  • Dentist
  • Pennington, NJ
National Provider Identifier
1891937124
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI20500 Issued in NJ
Legal business name
DENTAL ILLUMINATIONS OF HOPEWELL
Practice address
800 Denow Rd
Ste K
Pennington, NJ 08534-5246
Phone
(609) 303-0571
Fax
(609) 303-0584
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Dr. Madhavi V Kadiyala, DDS
Title
President
Phone
(604) 303-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DI20500 NJ Primary

Addresses

Primary practice location

800 Denow Rd
Ste K
Pennington, NJ 08534-5246

Mailing address

800 Denow Rd
Ste K
Pennington, NJ 08534-5246
Phone (609) 303-0571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1891937124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 DENOW RD",
            "address_2": "STE K",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345246",
            "telephone_number": "609-303-0571",
            "fax_number": "609-303-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 DENOW RD",
            "address_2": "STE K",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345246",
            "telephone_number": "609-303-0571",
            "fax_number": "609-303-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ILLUMINATIONS OF HOPEWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "604-303-0571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI20500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.