Organization Active NPI

Bo Orthodontics

  • General Practice Dentistry
  • Northvale, NJ
National Provider Identifier
1962764134
Registry record updated Jun 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02211400 Issued in NJ
Legal business name
BO ORTHODONTICS
Practice address
269 Livingston St Ste G
Northvale, NJ 07647-1918
Phone
(201) 470-2757
NPI assigned
Jun 13, 2012
Last updated
Jun 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2012

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

Authorized official

Name
Sung Yun
Title
DDS
Phone
(201) 470-2757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 22DI02211400 NJ Primary

Addresses

Primary practice location

269 Livingston St Ste G
Northvale, NJ 07647-1918

Mailing address

269 Livingston St Ste G
Northvale, NJ 07647-1918
Phone (201) 470-2757

National Provider Directory

National Provider Directory

Locations

269 Livingston St
Ste G
Northvale, NJ 07647
Phone (201) 470-2757

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": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1962764134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 LIVINGSTON ST STE G",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471918",
            "telephone_number": "201-470-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 LIVINGSTON ST STE G",
            "city": "NORTHVALE",
            "state": "NJ",
            "postal_code": "076471918",
            "telephone_number": "201-470-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BO ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "SUNG",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "201-470-2757"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02211400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.