Organization Active NPI

Denise Dibona DDS LLC

  • Dental Clinic/Center
  • Red Bank, NJ
National Provider Identifier
1447641667
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22DI01588000 Issued in NJ
Legal business name
DENISE DIBONA DDS LLC
Practice address
146 Maple Ave
Red Bank, NJ 07701-1701
Phone
(732) 530-5111
Fax
(732) 741-2584
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Denise Dibona, DDSNPI 1215038047
Title
Owner
Phone
(732) 530-5111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22DI01588000 NJ Primary

Addresses

Primary practice location

146 Maple Ave
Red Bank, NJ 07701-1701

Mailing address

146 Maple Ave
Red Bank, NJ 07701-1701
Phone (732) 530-5111

National Provider Directory

National Provider Directory

Locations

146 Maple Ave
Red Bank, NJ 07701
Phone (732) 530-5111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1447641667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011701",
            "telephone_number": "732-530-5111",
            "fax_number": "732-741-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011701",
            "telephone_number": "732-530-5111",
            "fax_number": "732-741-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE DIBONA DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "DIBONA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-530-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NJ",
            "license": "22DI01588000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.