Individual provider Active NPI

Robert L. Daniels, D.D.S.

  • General Practice Dentistry
  • Mt Arlington, NJ
National Provider Identifier
1215930516
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10663 Issued in NJ
Practice address
22 Howard Blvd
Ste 102
Mt Arlington, NJ 07856-1507
Phone
(973) 770-0200
Fax
(973) 770-3635
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 10663 NJ Primary

Addresses

Primary practice location

22 Howard Blvd
Ste 102
Mt Arlington, NJ 07856-1507

Mailing address

22 Howard Blvd
Ste 102
Mt Arlington, NJ 07856-1507
Phone (973) 770-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160506001768 NJ Order and Referring Only - DentistPractitioner - Dentist 2668771965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10663NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215930516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "STE 102",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561507",
            "telephone_number": "973-770-0200",
            "fax_number": "973-770-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD",
            "address_2": "STE 102",
            "city": "MT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561507",
            "telephone_number": "973-770-0200",
            "fax_number": "973-770-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "10663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Arlington, NJ

Sources for this page

Verify at the official NPI Registry.