Individual provider Active NPI

Steven Kilpatrick, DDS

  • General Practice Dentistry
  • Metuchen, NJ
National Provider Identifier
1104264449
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02727900 Issued in NJ
Practice address
26 Bridge St
Metuchen, NJ 08840-2276
Phone
(732) 321-1151
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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 22DI02727900 NJ Primary

Addresses

Primary practice location

26 Bridge St
Metuchen, NJ 08840-2276

Mailing address

161 Main St Apt 204
Hackensack, NJ 07601-7167
Phone (616) 915-4324

Other practice location 1

34 High St
Orange, NJ 07050-1606
Phone (973) 675-0653

Other practice location 2

919 Broadway
Bayonne, NJ 07002-3051
Phone (201) 858-8584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160418000333 MI Order and Referring Only - DentistPractitioner - Dentist 0143528620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02727900NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Metuchen Group Dental, LLC General Practice Past Accepting new patients
Platinum Dental Orange, PC General Practice Past Accepting new patients
Metuchen Dental Group PA General Practice Past Accepting new patients

Organizations & group practices 3

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1104264449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MAIN ST APT 204",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017167",
            "telephone_number": "616-915-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BRIDGE ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402276",
            "telephone_number": "732-321-1151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 High St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "NJ",
            "postal_code": "070501606",
            "country_code": "US",
            "telephone_number": "973-675-0653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070023051",
            "country_code": "US",
            "telephone_number": "201-858-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "STEVEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02727900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.