Basking Ridge Pediatric Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BASKING RIDGE PEDIATRIC DENTISTRY, LLC

Practice address

25 Mountainview Blvd
Ste 201
Basking Ridge, NJ 07920-3453

Phone

(908) 647-0747

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tina Diem Nguyen, DDS

Title

President

Phone

(908) 647-0747

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1982888384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD",
            "address_2": "STE 201",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-647-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD",
            "address_2": "STE 201",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-647-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASKING RIDGE PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "DIEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-647-0747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Ayse Baldisserotto, F.N.P
• Kenneth Banasiak, DMD
• Rouba Barkoudeh
• Francesca Barrett, MD MBA
• Basking Ridge Fire Company No. 1
• Basking Ridge Pediatric Health Center
• Basking Ridge Physical Therapy, LLC
• Basking Ridge Project Partnership, LLC
• Tammy K Bassin, RPH
• Sophia Baurkot

• Dental Clinic/Center in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.