Vincent C Noonan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DIO08342 Issued in NJ

Practice address

2003 US Highway 130 Ste C
North Brunswick, NJ 08902-4810

Phone

(732) 297-0549

NPI assigned

Nov 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013083633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 US HIGHWAY 130 STE C",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024810",
            "telephone_number": "732-297-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 US HIGHWAY 130 STE C",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024810",
            "telephone_number": "732-297-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "VINCENT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DIO08342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE NUMBER",
            "identifier": "DIO08342",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Jersey Podiatric Physicians & Surgeons Group, LLC
• Nextgen Clinical Solutions Inc
• Nextstep Physical Therapy Services LLC
• Nima Care Supported Living LLP. (Nima Care Supported Living)
• Noble Health Care
• Akina Norment
• North Brunswick Chiropractic Limited Liability Company
• North Brunswick Dental & Specialty Group, LLC (Brighter Dental Care (North Brunswick))
• North Brunswick First Aid and Rescue Squad, Inc.
• North Brunswick Medical Associates

• General Practice Dentistry in North Brunswick, NJ
• Providers in North Brunswick, NJ by specialty
• General Practice Dentistry in New Jersey

• 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.

Verify at the official NPI Registry.