Organization Active NPI

Family Dentistry of Spring Lake

  • General Practice Dentistry
  • Spring Lake, NJ
National Provider Identifier
1164536769
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY DENTISTRY OF SPRING LAKE
Practice address
310 Morris Ave
Spring Lake, NJ 07762-1339
Phone
(732) 449-5666
Fax
(732) 449-5338
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Peter Enrico Ciampi, DDSNPI 1932213501
Title
President
Phone
(732) 449-5666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

310 Morris Ave
Spring Lake, NJ 07762-1339

Mailing address

310 Morris Ave
Spring Lake, NJ 07762-1339
Phone (732) 449-5666

Other names 1

  • Spring Lake Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164536769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MORRIS AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621339",
            "telephone_number": "732-449-5666",
            "fax_number": "732-449-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MORRIS AVE",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077621339",
            "telephone_number": "732-449-5666",
            "fax_number": "732-449-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF SPRING LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CIAMPI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ENRICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-449-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spring Lake Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.