Organization Active NPI

Cumberland Dentistry Center LLC

  • Dentist
  • Vineland, NJ
National Provider Identifier
1003565045
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CUMBERLAND DENTISTRY CENTER LLC
Practice address
2106 W Landis Ave
Vineland, NJ 08360-3431
Phone
(856) 692-1370
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Michael Cole
Title
VP Insurance Plan Management
Phone
(727) 424-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2106 W Landis Ave
Vineland, NJ 08360-3431

Mailing address

2106 W Landis Ave
Vineland, NJ 08360-3431

Other practice location 1

1055 N Pearl St
Bridgeton, NJ 08302-1211
Phone (856) 455-7785

Other names 1

  • Dental Care Alliance Other name

National Provider Directory

National Provider Directory

Locations

1055 N Pearl St
Bridgeton, NJ 08302
Phone (856) 455-7785

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1003565045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083603431",
            "telephone_number": "856-692-1370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1055 N Pearl St",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "083021211",
            "country_code": "US",
            "telephone_number": "856-455-7785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CUMBERLAND DENTISTRY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.