Active NPI
James Richard Ross, DMD
- General Practice Dentistry
- Fort Dix, NJ
National Provider Identifier
1407918022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS018618-L
- Practice address
- 5660 Doughboy Loop
Mills Dental Clinic
Fort Dix, NJ 08640 - Phone
- (609) 562-2610
- NPI assigned
- Dec 14, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS018618-L | PA | Primary |
Addresses
Primary practice location
5660 Doughboy Loop
Mills Dental Clinic
Fort Dix, NJ 08640
Mailing address
1807 Larchmont PL
Mount Laurel, NJ 08054-5923
Phone (856) 235-9304
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS018618-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407918022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1807 LARCHMONT PL",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080545923",
"telephone_number": "856-235-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5660 DOUGHBOY LOOP",
"address_2": "MILLS DENTAL CLINIC",
"city": "FORT DIX",
"state": "NJ",
"postal_code": "08640",
"telephone_number": "609-562-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JAMES",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS018618-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dix, NJ
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.