Organization Active NPI

Riverton Family Dentistry

  • General Practice Dentistry
  • Riverton, NJ
National Provider Identifier
1386743227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI19871 Issued in NJ
Legal business name
RIVERTON FAMILY DENTISTRY
Practice address
406 Thomas Ave
Riverton, NJ 08077
Phone
(856) 829-0030
Fax
(856) 829-0196
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sanya M Sweeney, DMDNPI 1619172939
Title
President
Phone
(856) 829-0030

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DI19871 NJ Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DI1020816 NJ

Addresses

Primary practice location

406 Thomas Ave
Riverton, NJ 08077

Mailing address

406 Thomas Ave
Riverton, NJ 08077
Phone (856) 829-0030

National Provider Directory

National Provider Directory

Locations

406 Thomas Ave
Riverton, NJ 08077
Phone (856) 829-0030

Practitioners & affiliated clinicians

Practitioners 2

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386743227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 THOMAS AVE",
            "city": "RIVERTON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-829-0030",
            "fax_number": "856-829-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 THOMAS AVE",
            "city": "RIVERTON",
            "state": "NJ",
            "postal_code": "08077",
            "telephone_number": "856-829-0030",
            "fax_number": "856-829-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "SANYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-829-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI19871",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI1020816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.