Active NPI
Kenneth Tanen, DDS
- Dentist
- Browns Mills, NJ
National Provider Identifier
1114305992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02341600
- Practice address
- 100 Pemberton Browns Mill Rd
Browns Mills, NJ 08015-3127 - Phone
- (609) 893-2366
- NPI assigned
- May 12, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02341600 | NJ | Primary |
Addresses
Primary practice location
100 Pemberton Browns Mill Rd
Browns Mills, NJ 08015-3127
Mailing address
PO Box 122
Browns Mills, NJ 08015-0122
Phone (609) 893-2366
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02341600 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431388800000",
"number": "1114305992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122",
"city": "BROWNS MILLS",
"state": "NJ",
"postal_code": "080150122",
"telephone_number": "609-893-2366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PEMBERTON BROWNS MILL RD",
"city": "BROWNS MILLS",
"state": "NJ",
"postal_code": "080153127",
"telephone_number": "609-893-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANEN",
"first_name": "KENNETH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-12",
"last_updated": "2015-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02341600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Browns Mills, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.