Individual provider Active NPI

Steven Denholtz, D.M.D.

  • Dentist
  • Flanders, NJ
National Provider Identifier
1396180238
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11303 Issued in NJ
Practice address
268 US Highway 206 Ste 401
Flanders, NJ 07836-9083
Phone
(973) 252-1600
Fax
(973) 584-8877
NPI assigned
May 6, 2013
Last updated
May 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11303 NJ Primary

Addresses

Primary practice location

268 US Highway 206 Ste 401
Flanders, NJ 07836-9083

Mailing address

268 US Highway 206 Ste 401
Flanders, NJ 07836-9083
Phone (973) 252-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421001742 NJ Order and Referring Only - DentistPractitioner - Dentist 2668790700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11303NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1396180238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 US HIGHWAY 206 STE 401",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369083",
            "telephone_number": "973-252-1600",
            "fax_number": "973-584-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 US HIGHWAY 206 STE 401",
            "city": "FLANDERS",
            "state": "NJ",
            "postal_code": "078369083",
            "telephone_number": "973-252-1600",
            "fax_number": "973-584-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHOLTZ",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "11303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flanders, NJ

Sources for this page

Verify at the official NPI Registry.