Individual provider Active NPI

John J Mirrione, DMD

  • General Practice Dentistry
  • Turnersville, NJ
National Provider Identifier
1215112552
Registry record updated Jan 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI016589 Issued in NJ
Practice address
900 Route 168 Ste C5
Turnersville, NJ 08012-3206
Phone
(856) 401-8800
Fax
(856) 401-8840
NPI assigned
Jan 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI016589 NJ Primary

Addresses

Primary practice location

900 Route 168 Ste C5
Turnersville, NJ 08012-3206

Mailing address

900 Route 168 Ste C5
Turnersville, NJ 08012-3206
Phone (856) 401-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI016589NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1199577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199577600000",
    "number": "1215112552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168 STE C5",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123206",
            "telephone_number": "856-401-8800",
            "fax_number": "856-401-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 ROUTE 168 STE C5",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080123206",
            "telephone_number": "856-401-8800",
            "fax_number": "856-401-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRRIONE",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-06",
        "last_updated": "2008-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI016589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.