Individual provider Active NPI

Arthur F Haliczer, DDS

  • General Practice Dentistry
  • Cranford, NJ
National Provider Identifier
1144240664
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14154 Issued in NJ
Practice address
108 N Union Ave
Cranford, NJ 07016-2194
Phone
(908) 276-4116
Fax
(908) 276-0445
NPI assigned
Jul 20, 2006
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
General Practice Dentistry 1223G0001X 14154 NJ Primary

Addresses

Primary practice location

108 N Union Ave
Cranford, NJ 07016-2194

Mailing address

108 N Union Ave
Cranford, NJ 07016-2194
Phone (908) 276-4116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240621001420 TX Practitioner - Dentist 2769793405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14154NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Tribal Chairmen's Health Board CurrentSince May 6, 2024 Accepting new patients

Locations

3200 Canyon Lake Dr
Rapid City, SD 57702
Phone (605) 355-2282

3200 Canyon Lake Dr
Ste 1
Rapid City, SD 57702
Phone (605) 355-2500

Organizations & group practices 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144240664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N UNION AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162194",
            "telephone_number": "908-276-4116",
            "fax_number": "908-276-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N UNION AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162194",
            "telephone_number": "908-276-4116",
            "fax_number": "908-276-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALICZER",
        "first_name": "ARTHUR",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

Verify at the official NPI Registry.