Individual provider Active NPI

Robert Bruce Kane, D.M.D

  • Periodontics
  • Toms River, NJ
National Provider Identifier
1124166673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DI15671 Issued in NJ
Practice address
1163 Route 37 W
Suite C-4
Toms River, NJ 08755-4973
Phone
(732) 244-3800
Fax
(732) 244-5081
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DI15671 NJ Primary

Addresses

Primary practice location

1163 Route 37 W
Suite C-4
Toms River, NJ 08755-4973

Mailing address

1163 Route 37 W
Suite C-4
Toms River, NJ 08755-4973
Phone (732) 244-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160811001566 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224322359

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI15671NJMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124166673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W",
            "address_2": "SUITE C-4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554973",
            "telephone_number": "732-244-3800",
            "fax_number": "732-244-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W",
            "address_2": "SUITE C-4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554973",
            "telephone_number": "732-244-3800",
            "fax_number": "732-244-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI15671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

Verify at the official NPI Registry.