Individual provider Active NPI

Todd Ronald Regnaert, DMD

  • Dentist
  • Vineland, NJ
National Provider Identifier
1134322183
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D102404700 Issued in NJ
Practice address
2816 Vine Rd
Vineland, NJ 08360-9225
Phone
(856) 691-0168
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN13910 FL
Dentist 122300000X 22D102404700 NJ Primary

Addresses

Primary practice location

2816 Vine Rd
Vineland, NJ 08360-9225

Mailing address

2816 Vine Rd
Vineland, NJ 08360-9225
Phone (856) 691-0168

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
I20160225001083 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9234434481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102404700NJMDDentist
DN13910FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1134322183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 VINE RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083609225",
            "telephone_number": "856-691-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 VINE RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083609225",
            "telephone_number": "856-691-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGNAERT",
        "first_name": "TODD",
        "middle_name": "RONALD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN13910",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D102404700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.