NPIMap

Organization Active NPI

Haddonfield Dental, LLC

  • Dentist
  • Cherry Hill, NJ
National Provider Identifier
1164540290
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DI019194 Issued in NJ
Legal business name
HADDONFIELD DENTAL, LLC
Practice address
63 Kresson Rd Ste 102
Cherry Hill, NJ 08034-3200
Phone
(856) 857-0400
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Mrs. Johanna P Reed, MBA
Title
Treasurer
Phone
(856) 857-0400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DI019194 NJ Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DI019404 NJ

Addresses

Primary practice location

63 Kresson Rd Ste 102
Cherry Hill, NJ 08034-3200

Mailing address

63 Kresson Rd Ste 102
Cherry Hill, NJ 08034-3200
Phone (856) 857-0400

Other identifiers 2

IdentifierTypeStateIssuer
DI019194OtherNJSTATE LICENSE NUMBER
DI019404OtherNJSTATE LICENSE NUMBER

Other names 1

  • Joseph R. Reed, DMD Other name

National Provider Directory

National Provider Directory

Locations

63 Kresson Rd
Ste 102
Cherry Hill, NJ 08034
Phone (856) 857-0400

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1164540290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD STE 102",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-857-0400",
            "fax_number": "856-216-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD STE 102",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-857-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDONFIELD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "856-857-0400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI019194",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI019404",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DI019194",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "DI019404",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph R. Reed, DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.