Active NPI
Anna Pollatos, DMD
- General Practice Dentistry
- Somerset, NJ
National Provider Identifier
1992879084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI18733
- Practice address
- 710 Easton Avenue
Suite 1
Somerset, NJ 08873-1855 - Phone
- (732) 545-4465
- Fax
- (732) 545-0376
- NPI assigned
- Nov 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI18733 | NJ | Primary |
Addresses
Primary practice location
710 Easton Avenue
Suite 1
Somerset, NJ 08873-1855
Mailing address
710 Easton Avenue
Suite 1
Somerset, NJ 08873-1855
Phone (732) 545-4465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI18733 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992879084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 EASTON AVENUE",
"address_2": "SUITE 1",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731855",
"telephone_number": "732-545-4465",
"fax_number": "732-545-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 EASTON AVENUE",
"address_2": "SUITE 1",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088731855",
"telephone_number": "732-545-4465",
"fax_number": "732-545-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLATOS",
"first_name": "ANNA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI18733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.