Individual provider Active NPI

Richard D'Avanzo, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Belle Mead, NJ
National Provider Identifier
1235763343
Registry record updated Oct 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI01673500 Issued in NJ
Practice address
2230 Route 206
Belle Mead, NJ 08502-4020
Phone
(908) 874-8360
NPI assigned
Feb 27, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI01673500 NJ Primary

Addresses

Primary practice location

2230 Route 206
Belle Mead, NJ 08502-4020

Mailing address

14 Burniston CT
Hillsborough, NJ 08844-2328
Phone (609) 709-0107

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
22DI01673500NJMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Belle Mead Orthodontic Care PA Orthodontics and Dentofacial Orthopedics CurrentSince Nov 30, 2025 Accepting new patients
NJ Candic Orthodontics PC Orthodontics and Dentofacial Orthopedics PastSince Mar 1, 2020 Accepting new patients

Locations

2230 US Highway 206
Belle Mead, NJ 08502
Phone (908) 874-8360

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761436800000",
    "number": "1235763343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BURNISTON CT",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088442328",
            "telephone_number": "609-709-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 ROUTE 206",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085024020",
            "telephone_number": "908-874-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AVANZO",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-27",
        "last_updated": "2025-10-26",
        "certification_date": "2025-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI01673500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Mead, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2025; 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.