Individual provider Active NPI

Christopher James Virunurm, DMD

  • Dentist
  • Bridgeton, NJ
National Provider Identifier
1104392471
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102729400 Issued in NJ
Practice address
553 Shiloh Pike
Bridgeton, NJ 08302-1405
Phone
(856) 451-9064
Fax
(856) 451-8414
NPI assigned
Oct 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22D102729400 NJ Primary

Addresses

Primary practice location

553 Shiloh Pike
Bridgeton, NJ 08302-1405

Mailing address

553 Shiloh Pike
Bridgeton, NJ 08302-1405
Phone (856) 451-9064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22D102729400NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Boss Dentistry LLC Past Accepting new patients
Cumberland Dental Associates LLC PastSince Nov 28, 2021 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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1104392471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 SHILOH PIKE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021405",
            "telephone_number": "856-451-9064",
            "fax_number": "856-451-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 SHILOH PIKE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021405",
            "telephone_number": "856-451-9064",
            "fax_number": "856-451-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRUNURM",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102729400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.