Children's Dental Center of Monmouth, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

CHILDREN'S DENTAL CENTER OF MONMOUTH, PA

Practice address

2 Apple Farm Rd
Red Bank, NJ 07701-5094

Phone

(732) 671-1266

Fax

(732) 671-2166

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

George J. Dierna, D.D.S.

Title

Treasurer

Phone

(732) 671-1266

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1174587836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 APPLE FARM RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015094",
            "telephone_number": "732-671-1266",
            "fax_number": "732-671-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 APPLE FARM RD",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015094",
            "telephone_number": "732-671-1266",
            "fax_number": "732-671-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CENTER OF MONMOUTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "DIERNA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "732-671-1266",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0170186",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey L Cherubini, D.C.
• Liza Cherubini, D.C.
• Suzanne M Chiaffitella, LCSW
• Lorraine Chiavetta, PSY.D.
• Manjula S Chidambaram, MD
• Chiropractic Health Associates of Central Jersey
• Megha Chitkara, M.D.
• Yu-Jeong Alexis Choi, MD
• Nicholas Charles Choman, DO
• Christopher B. Kruse, M.D., LLC (Dermatology and Skin Cancer Center)

• Pediatric Dentistry in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.