NPIMap

Organization Active NPI

Michael Dicarlo DDS PC

  • Dental Clinic/Center
  • Holmdel, NJ
National Provider Identifier
1063919835
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI02604100 Issued in NJ
Legal business name
MICHAEL DICARLO DDS PC
Practice address
146 State Route 34 Ste 200
Holmdel, NJ 07733-2416
Phone
(732) 946-4244
Fax
(732) 946-4492
NPI assigned
Apr 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Dr. Michael Dicarlo, DDSNPI 1467710426
Title
President
Phone
(732) 946-4244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI02604100 NJ Primary

Addresses

Primary practice location

146 State Route 34 Ste 200
Holmdel, NJ 07733-2416

Mailing address

146 State Route 34 Ste 200
Holmdel, NJ 07733-2416
Phone (732) 946-4244

Other names 1

  • Dental Health Center of Holmdel Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1063919835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 STATE ROUTE 34 STE 200",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332416",
            "telephone_number": "732-946-4244",
            "fax_number": "732-946-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 STATE ROUTE 34 STE 200",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332416",
            "telephone_number": "732-946-4244",
            "fax_number": "732-946-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DICARLO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DICARLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-946-4244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI02604100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Health Center of Holmdel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holmdel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.