Individual provider Active NPI

Kenneth Anthony Alspach, DMD

  • Dentist
  • Dayton, NJ
National Provider Identifier
1104013341
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI01431400 Issued in NJ
Practice address
338 Georges Rd
Dayton, NJ 08810-1546
Phone
(732) 329-3113
Fax
(732) 329-2889
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI01431400 NJ Primary

Addresses

Primary practice location

338 Georges Rd
Dayton, NJ 08810-1546

Mailing address

338 Georges Rd
Dayton, NJ 08810-1546
Phone (732) 329-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 15, 2016 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI01431400NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors of Dental Medicine. LLP Past Accepting new patients
Dayton Dental Associates, LLC Dentist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1104013341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 GEORGES RD",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101546",
            "telephone_number": "732-329-3113",
            "fax_number": "732-329-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 GEORGES RD",
            "city": "DAYTON",
            "state": "NJ",
            "postal_code": "088101546",
            "telephone_number": "732-329-3113",
            "fax_number": "732-329-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSPACH",
        "first_name": "KENNETH",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI01431400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NJ

Sources for this page

Verify at the official NPI Registry.