Richard Martin Dannenbaum, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DI00737600 Issued in NJ

Practice address

8 N Union Ave
Margate City, NJ 08402-1226

Phone

(609) 822-4875

Fax

(609) 823-8261

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285780189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N UNION AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021226",
            "telephone_number": "609-822-4875",
            "fax_number": "609-823-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N UNION AVE",
            "city": "MARGATE CITY",
            "state": "NJ",
            "postal_code": "084021226",
            "telephone_number": "609-822-4875",
            "fax_number": "609-823-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNENBAUM",
        "first_name": "RICHARD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI00737600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Caruso, DO
• Bernard Samuel Casel, MD
• Kelley E Cerchione, OD
• City of Margate City (Margate Fire Department)
• Allison Corley, LCSW
• Christina Dengler-Bailey, LCSW
• Licia A Devivo, LCSW
• Patrick Doughten, OD
• Tracey Douglass Douglass
• Downbeach Healthcare Consultants

• Periodontics in Margate City, NJ
• Providers in Margate City, NJ by specialty
• Periodontics in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.