Mario J Canal, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01653900 Issued in NJ

Practice address

285 S Church St
Suite 7
Moorestown, NJ 08057-2773

Phone

(856) 439-1200

Fax

(856) 439-1106

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Aug 1, 2018 through Aug 1, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mario J. Canal DMD, PC

  • Periodontics
  • Moorestown, NJ
  • NPI 1174638845
  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184727737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 S CHURCH ST",
            "address_2": "SUITE 7",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572773",
            "telephone_number": "856-439-1200",
            "fax_number": "856-439-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 S CHURCH ST",
            "address_2": "SUITE 7",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572773",
            "telephone_number": "856-439-1200",
            "fax_number": "856-439-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAL",
        "first_name": "MARIO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01653900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cambridge Operator LLC
• Cambridge Operator LLC
• Audrey Camel, DO
• Germaine M Camishion, MD
• Brooke Campbell, LPC
• Elsa Candelario
• Capital Assisting LLC
• Antoinette Caporale
• Jamie Rae Capri, LCSW
• Care One at Moorestown, LLC (Care One at Moorestown)

• General Practice Dentistry in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.