Active NPI
Keith Lawrence Dunoff, D.M.D.
- Dentist
- West Berlin, NJ
National Provider Identifier
1013021948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI01476600
- Practice address
- 116 Walker Ave
Berlin Circle Plaza
West Berlin, NJ 08091-1424 - Phone
- (856) 768-5151
- Fax
- (856) 768-2966
- NPI assigned
- Aug 18, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI01476600 | NJ | Primary |
Addresses
Primary practice location
116 Walker Ave
Berlin Circle Plaza
West Berlin, NJ 08091-1424
Mailing address
116 Walker Ave
Berlin Circle Plaza
West Berlin, NJ 08091-1424
Phone (856) 768-5151
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 |
|---|---|---|---|
| 22DI01476600 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCD Brookwood, LLC | Current | Accepting new patients | |
| CCD Professional Services, LLC | Dentist | Current | Accepting new patients |
| Berlin Plaza Dental Associates, L.L.P. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- West Berlin, NJ
- NPI 1881810935
-
dba Brookwood Dental Associates
- General Practice Dentistry
- Lansdale, PA
- NPI 1154876019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013021948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 WALKER AVE",
"address_2": "BERLIN CIRCLE PLAZA",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080911424",
"telephone_number": "856-768-5151",
"fax_number": "856-768-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 WALKER AVE",
"address_2": "BERLIN CIRCLE PLAZA",
"city": "WEST BERLIN",
"state": "NJ",
"postal_code": "080911424",
"telephone_number": "856-768-5151",
"fax_number": "856-768-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNOFF",
"first_name": "KEITH",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI01476600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Berlin, 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.