Individual provider Active NPI

Harry William Greenberg, DMD

  • General Practice Dentistry
  • Mount Holly, NJ
National Provider Identifier
1043370356
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01170800 Issued in NJ
Practice address
362 Ridgeway St
Mount Holly, NJ 08060-1444
Phone
(609) 267-3230
Fax
(609) 267-3136
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01170800 NJ Primary

Addresses

Primary practice location

362 Ridgeway St
Mount Holly, NJ 08060-1444

Mailing address

362 Ridgeway St
Mount Holly, NJ 08060-1444
Phone (609) 267-3230

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
I20160623000694 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860636354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Holly Family Dentistry LLC Past Accepting new patients
Mt Holly Family Dentistry, PA General Practice Past Accepting new patients

Organizations & group practices 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043370356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 RIDGEWAY ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601444",
            "telephone_number": "609-267-3230",
            "fax_number": "609-267-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 RIDGEWAY ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601444",
            "telephone_number": "609-267-3230",
            "fax_number": "609-267-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "HARRY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01170800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.