NPIMap

Organization Active NPI

Dental Star

  • Dental Clinic/Center
  • Manalapan, NJ
National Provider Identifier
1942471586
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02284000 Issued in NJ
Legal business name
DENTAL STAR
Practice address
74 Phillip LN
Manalapan, NJ 07726-8335
Phone
(732) 972-7770
Fax
(732) 972-7705
NPI assigned
Mar 21, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Vladimir Potepalov, D.D.S.NPI 1306811492
Title
Dentist
Phone
(732) 972-7770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02284000 NJ Primary

Addresses

Primary practice location

74 Phillip LN
Manalapan, NJ 07726-8335

Mailing address

74 Philip Plaza Unit C
Englishtown, NJ 07726
Phone (732) 972-7770

National Provider Directory

National Provider Directory
Tax ID family
Dental Star2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1942471586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PHILIP PLAZA UNIT C",
            "city": "ENGLISHTOWN",
            "state": "NJ",
            "postal_code": "07726",
            "telephone_number": "732-972-7770",
            "fax_number": "732-972-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 PHILLIP LN",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077268335",
            "telephone_number": "732-972-7770",
            "fax_number": "732-972-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL STAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "POTEPALOV",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "732-972-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02284000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.