Individual provider Active NPI

Christopher J Devlin, DMD

  • General Practice Dentistry
  • Howell, NJ
National Provider Identifier
1235277583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22D102108500 Issued in NJ
Practice address
4260 US Highway 9
Howell Professional Center
Howell, NJ 07731-3351
Phone
(732) 363-5115
Fax
(732) 370-9392
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 22D102108500 NJ Primary

Addresses

Primary practice location

4260 US Highway 9
Howell Professional Center
Howell, NJ 07731-3351

Mailing address

4260 US Highway 9
Howell Professional Center
Howell, NJ 07731-3351
Phone (732) 363-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160606000375 TX Order and Referring Only - DentistPractitioner - Dentist 7214227172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22D102108500NJMDGeneral Practice Dentistry
24892TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235277583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 US HIGHWAY 9",
            "address_2": "HOWELL PROFESSIONAL CENTER",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313351",
            "telephone_number": "732-363-5115",
            "fax_number": "732-370-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 US HIGHWAY 9",
            "address_2": "HOWELL PROFESSIONAL CENTER",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313351",
            "telephone_number": "732-363-5115",
            "fax_number": "732-370-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22D102108500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.