NJ Candic Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

NJ CANDIC ORTHODONTICS PC

Practice address

14 Burniston CT
Hillsborough, NJ 08844-2328

Phone

(908) 231-1860

NPI assigned

Apr 2, 2019

Organization subpart

No

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

Authorized official

Name

Richard D'AvanzoNPI 1235763343

Title

Delegated Representative

Phone

(908) 231-1860

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Richard D'Avanzo, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Belle Mead, NJ
  • NPI 1235763343
  NPD (past) Authorized official

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1962964668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BURNISTON CT",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BURNISTON CT",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442328",
            "telephone_number": "908-231-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ CANDIC ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "D'AVANZO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DELEGATED REPRESENTATIVE",
        "authorized_official_telephone_number": "908-231-1860"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000-00000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Hillsborough, NJ
• Providers in Hillsborough, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.