Active NPI
Gloria E. Patino, D.M.D.
- General Practice Dentistry
- Wharton, NJ
National Provider Identifier
1265655286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D102155300
- Practice address
- 400 S. Main St.
1St Floor
Wharton, NJ 07885-2043 - Phone
- (862) 397-4282
- Fax
- (862) 397-4285
- NPI assigned
- Apr 10, 2007
- Last updated
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02155300 | NJ | |
| General Practice Dentistry | 1223G0001X | D102155300 | NJ | Primary |
Addresses
Primary practice location
400 S. Main St.
1St Floor
Wharton, NJ 07885-2043
Mailing address
400 S. Main St.
1St Floor
Warton, NJ 07885-2043
Phone (862) 397-4282
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02155300 | NJ | MD | General Practice Dentistry |
| D102155300 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Attentive Dentist, LLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Attentive Dentist, LLC
- General Practice Dentistry
- Wharton, NJ
- NPI 1699970509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1265655286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S. MAIN ST.",
"address_2": "1ST FLOOR",
"city": "WARTON",
"state": "NJ",
"postal_code": "078852043",
"telephone_number": "862-397-4282",
"fax_number": "862-397-4282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S. MAIN ST.",
"address_2": "1ST FLOOR",
"city": "WHARTON",
"state": "NJ",
"postal_code": "078852043",
"telephone_number": "862-397-4282",
"fax_number": "862-397-4285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATINO",
"first_name": "GLORIA",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02155300",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "D102155300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wharton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.