NJ Dental Specialties Corp

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

5784 Issued in NJ

Legal business name

NJ DENTAL SPECIALTIES CORP

Practice address

2425 Pennington Rd
Pennington, NJ 08534-5228

Phone

(718) 915-3713

Fax

(866) 894-5881

NPI assigned

Aug 16, 2012

Last updated

Aug 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yatin Khanna, DDS FICDNPI 1205049707

Title

Owner

Phone

(718) 915-3713

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Yatin Khanna, DDS

  • Prosthodontics
  • Brooklyn, NY
  • NPI 1205049707
  Authorized official Same address or phone

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1902154222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345228",
            "telephone_number": "718-915-3713",
            "fax_number": "866-894-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PENNINGTON RD",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085345228",
            "telephone_number": "718-915-3713",
            "fax_number": "866-894-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ DENTAL SPECIALTIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "KHANNA",
        "authorized_official_first_name": "YATIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-915-3713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS FICD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey Counseling Group
• New Jersey CVS Pharmacy LLC (CVS Pharmacy #11456)
• Stacy Kristin Newman, APN
• Nexus DME
• Parag Nihalani
• Andrew Norton
• Larry Norton, PHD
• Samantha Norton, PA
• Kerry Dorrian Nulman, MS, CCC-SLP
• Mackenzie Nutt, FNP-BC

• Prosthodontics in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Prosthodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.