Organization Active NPI

Flemington Dental Associates LLC

  • Dental Clinic/Center
  • Flemington, NJ
National Provider Identifier
1902135239
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DI19246 Issued in NJ
Legal business name
FLEMINGTON DENTAL ASSOCIATES LLC
Practice address
111 Route 31
Suite 211
Flemington, NJ 08822-5795
Phone
(973) 455-1033
Fax
(973) 455-1263
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Dr. Mohsen M 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

111 Route 31
Suite 211
Flemington, NJ 08822-5795

Mailing address

111 Route 31
Suite 211
Flemington, NJ 08822-5795
Phone (973) 455-1033

National Provider Directory

National Provider Directory

Locations

111 Route 31
Ste 211
Flemington, NJ 08822
Phone (973) 455-1033

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1902135239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ROUTE 31",
            "address_2": "SUITE 211",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225795",
            "telephone_number": "973-455-1033",
            "fax_number": "973-455-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROUTE 31",
            "address_2": "SUITE 211",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225795",
            "telephone_number": "973-455-1033",
            "fax_number": "973-455-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEMINGTON DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "NOURBAKHSH",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-455-1033",
        "authorized_official_name_prefix": "Dr.",
        "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 Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.