Individual provider Active NPI

Caitlyn Zudans Brim, DMD

  • Dentist
  • Burlington, NJ
National Provider Identifier
1255746343
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02574600 Issued in NJ
Practice address
1303 Mount Holly Rd
Burlington, NJ 08016-3733
Phone
(609) 386-5700
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02574600 NJ Primary
Dentist 122300000X DS040072 PA

Addresses

Primary practice location

1303 Mount Holly Rd
Burlington, NJ 08016-3733

Mailing address

1303 Mount Holly Rd
Burlington, NJ 08016-3733
Phone (609) 386-5700

Other names 1

  • Caitlyn Zudans Former name

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
22DI02574600NJMDDentist
DS040072PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Burlington Dental Partnership Dentist Past Accepting new patients

Organizations & group practices 1

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619913600000",
    "number": "1255746343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163733",
            "telephone_number": "609-386-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163733",
            "telephone_number": "609-386-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIM",
        "first_name": "CAITLYN",
        "middle_name": "ZUDANS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02574600",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040072",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLYN",
            "last_name": "ZUDANS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.