Active NPI
Douglas J Bush, DMD
- Dentist
- Chester, NJ
National Provider Identifier
1346352010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D13138
- Practice address
- 385 Route 24
Ste 2a
Chester, NJ 07930 - Phone
- (908) 879-6099
- Fax
- (908) 879-6944
- NPI assigned
- Aug 31, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D13138 | NJ | Primary |
Addresses
Primary practice location
385 Route 24
Ste 2a
Chester, NJ 07930
Mailing address
385 Route 24
Ste 2a
Chester, NJ 07930
Phone (908) 879-6099
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D13138 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346352010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 ROUTE 24",
"address_2": "STE 2A",
"city": "CHESTER",
"state": "NJ",
"postal_code": "07930",
"telephone_number": "908-879-6099",
"fax_number": "908-879-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 ROUTE 24",
"address_2": "STE 2A",
"city": "CHESTER",
"state": "NJ",
"postal_code": "07930",
"telephone_number": "908-879-6099",
"fax_number": "908-879-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "DOUGLAS",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "D13138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chester, NJ
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- Lisa Frances Brown, OTR
- Julie C Burhart-Crumby, MS, CCC-SLP
- Heydi Dinora Calix Iglesias
- Kathleen Carbon, PA-C
- Center for Anxiety and Behavior Management, LLC
- Center for Dental-Facial Aesthetics, LLC
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Sources for this page
- 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.