Individual provider Active NPI

Kimberly C. Tinger, D.D.S.

  • Dentist
  • Oakhurst, NJ
National Provider Identifier
1023265683
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02398800 Issued in NJ
Practice address
1802 Route 35
Oakhurst, NJ 07755-2912
Phone
(732) 660-0500
NPI assigned
Aug 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054090 NY
Dentist 122300000X 22DI02398800 NJ Primary

Addresses

Primary practice location

1802 Route 35
Oakhurst, NJ 07755-2912

Mailing address

520 Lawrence Square Blvd S
Lawrenceville, NJ 08648-2674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150223001450 NJ Order and Referring Only - DentistPractitioner - Dentist 5597081299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054090NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Dental of Eatontown, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1023265683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LAWRENCE SQUARE BLVD S",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ROUTE 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552912",
            "telephone_number": "732-660-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINGER",
        "first_name": "KIMBERLY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054090",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02398800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

Verify at the official NPI Registry.