NPIMap

Organization Active NPI

QD 775 Union Blvd., LLC

  • General Practice Dentistry
  • Totowa, NJ
National Provider Identifier
1982663639
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15934 Issued in NJ
Legal business name
QD 775 UNION BLVD., LLC
Practice address
775 Union Blvd
Totowa, NJ 07512-2207
Phone
(973) 812-1234
Fax
(973) 812-0679
NPI assigned
Mar 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Victor Salvador, DMDNPI 1841412285
Title
Owner
Phone
(973) 812-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16139 NJ
General Practice Dentistry 1223G0001X 15934 NJ Primary

Addresses

Primary practice location

775 Union Blvd
Totowa, NJ 07512-2207

Mailing address

775 Union Blvd
Totowa, NJ 07512-2207
Phone (973) 812-1234

National Provider Directory

National Provider Directory

Locations

775 Union Blvd
Totowa, NJ 07512
Phone (973) 812-1234

Practitioners & affiliated clinicians

Practitioners 4

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982663639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122207",
            "telephone_number": "973-812-1234",
            "fax_number": "973-812-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 UNION BLVD",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122207",
            "telephone_number": "973-812-1234",
            "fax_number": "973-812-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QD 775 UNION BLVD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SALVADOR",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-812-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "16139",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "15934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Totowa, NJ

Sources for this page

  • 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.