Somerset Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOMERSET DENTAL PC

Practice address

1707 RT 27 South
Hempstead Plaza
Somerset, NJ 08873-3908

Phone

(732) 745-9898

Fax

(732) 745-9818

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mita A Shah, DDS

Title

Dentist President

Phone

(732) 745-9898

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Mitaben A. Shah, D.D.S.

  • General Practice Dentistry
  • Somerset, NJ
  • NPI 1316033665
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912123290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 RT 27 SOUTH",
            "address_2": "HEMPSTEAD PLAZA",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733908",
            "telephone_number": "732-745-9898",
            "fax_number": "732-745-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 RT 27 SOUTH",
            "address_2": "HEMPSTEAD PLAZA",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088733908",
            "telephone_number": "732-745-9898",
            "fax_number": "732-745-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMERSET DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MITA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "732-745-9898",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "807614",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179730",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diwata V Somera, APRN-BC
• Somerset Chest and Intensive Care Medicine, PC
• Somerset Chiropractic Center, LLC
• Somerset Community Action Program, Inc.
• Somerset County General Surgery
• Somerset Family Dentistry, LLC
• Somerset Family Physical Therapy Inc
• Somerset Medical Associates PA
• Somerset Nutricare LLC
• Somerset Outpatient Surgery, LLC (Raritan Valley Surgery Center)

• General Practice Dentistry in Somerset, NJ
• Providers in Somerset, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.