NPIMap

Organization Active NPI

Sunshine Dental, Inc.

  • Dental Clinic/Center
  • Lincroft, NJ
National Provider Identifier
1265722490
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI01142300 Issued in NJ
Legal business name
SUNSHINE DENTAL, INC.
Practice address
9 Middletown Lincroft Rd
Lincroft, NJ 07738-1511
Phone
(732) 842-5005
Fax
(732) 842-8608
NPI assigned
Apr 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Authorized official

Name
Richard J. Mercurio, D.D.S.NPI 1316091937
Title
Dentist/Owner
Phone
(732) 842-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI01142300 NJ Primary

Addresses

Primary practice location

9 Middletown Lincroft Rd
Lincroft, NJ 07738-1511

Mailing address

9 Middletown Lincroft Rd
Lincroft, NJ 07738-1511
Phone (732) 842-5005

National Provider Directory

National Provider Directory

Locations

9 Middletown Lincroft Rd
Lincroft, NJ 07738
Phone (732) 842-5005

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302220800000",
    "number": "1265722490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MIDDLETOWN LINCROFT RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381511",
            "telephone_number": "732-842-5005",
            "fax_number": "732-842-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MIDDLETOWN LINCROFT RD",
            "city": "LINCROFT",
            "state": "NJ",
            "postal_code": "077381511",
            "telephone_number": "732-842-5005",
            "fax_number": "732-842-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A",
        "authorized_official_last_name": "MERCURIO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "732-842-5005",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI01142300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincroft, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.