Organization Active NPI

Kenneth a. Yorgey DMD PA

  • Dental Clinic/Center
  • Medford, NJ
National Provider Identifier
1093876856
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11729 Issued in NJ
Legal business name
KENNETH A. YORGEY DMD PA
Practice address
133 Jackson Rd
Medford, NJ 08055-9234
Phone
(609) 654-0029
Fax
(609) 714-0159
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Allen Yorgey, DMD
Title
President
Phone
(609) 654-0029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 11729 NJ Primary

Addresses

Primary practice location

133 Jackson Rd
Medford, NJ 08055-9234

Mailing address

133 Jackson Rd
Medford, NJ 08055-9234
Phone (609) 654-0029

National Provider Directory

National Provider Directory

Locations

133 Jackson Rd
Medford, NJ 08055
Phone (609) 654-1330

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093876856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 JACKSON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559234",
            "telephone_number": "609-654-0029",
            "fax_number": "609-714-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 JACKSON RD",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559234",
            "telephone_number": "609-654-0029",
            "fax_number": "609-714-0159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. YORGEY DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YORGEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-654-0029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "11729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.