Neptune Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02193300 Issued in NJ

Legal business name

NEPTUNE FAMILY DENTAL

Practice address

2300 State Route 33
Neptune, NJ 07753-4362

Phone

(732) 774-0077

Fax

(732) 988-1176

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Maria R Jimenez, DDS

Title

Owner

Phone

(732) 774-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Maria R Jimenez-Duru, D.D.S.

  • General Practice Dentistry
  • Neptune, NJ
  • NPI 1659414027
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1184845604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534362",
            "telephone_number": "732-774-0077",
            "fax_number": "732-988-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534362",
            "telephone_number": "732-774-0077",
            "fax_number": "732-988-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPTUNE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-774-0077",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02193300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101052",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neptune
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• Neptune Ambulatory Anesthesia & Pain
• Neptune Artificial Kidney Center LLC
• Neptune Foot Care Center
• Neptune Gardens Nursing and Rehab LLC
• Neptune Internal Medicine, LLC
• Neptune Orthopedic M.D. P.a.
• Neptune Pediatrics LLC

• General Practice Dentistry in Neptune, NJ
• Providers in Neptune, 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 Aug 14, 2008; 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.