Individual provider Active NPI

Christina Marie Daibes, DMD

  • Dentist
  • Denville, NJ
National Provider Identifier
1447663091
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02575100 Issued in NJ
Practice address
111 Bloomfield Ave
Denville, NJ 07834-2701
Phone
(973) 627-6053
NPI assigned
Jun 10, 2014
Last updated
Aug 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI02575100 NJ Primary

Addresses

Primary practice location

111 Bloomfield Ave
Denville, NJ 07834-2701

Mailing address

3 Hubbardton Rd
Wayne, NJ 07470-5467
Phone (973) 432-8581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170321001232 TX Order and Referring Only - DentistPractitioner - Dentist 4082999719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02575100NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates of Denville, P.a. Past Accepting new patients
Denville Dental Group PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1447663091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HUBBARDTON RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074705467",
            "telephone_number": "973-432-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BLOOMFIELD AVE",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078342701",
            "telephone_number": "973-627-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIBES",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02575100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denville, NJ

Sources for this page

Verify at the official NPI Registry.