Individual provider Active NPI

Steven F Canger, DDS

  • General Practice Dentistry
  • Fair Lawn, NJ
National Provider Identifier
1508923988
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14633 Issued in NJ
Practice address
28-18 Fair Lawn Avenue
Fair Lawn, NJ 07410-3482
Phone
(201) 796-3675
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14633 NJ Primary

Addresses

Primary practice location

28-18 Fair Lawn Avenue
Fair Lawn, NJ 07410-3482

Mailing address

28-18 Fair Lawn Avenue
Fair Lawn, NJ 07410-3482
Phone (201) 796-3675

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
I20160126000188 NJ Order and Referring Only - DentistPractitioner - Dentist 3678876646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14633NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508923988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-18 FAIR LAWN AVENUE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103482",
            "telephone_number": "201-796-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-18 FAIR LAWN AVENUE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103482",
            "telephone_number": "201-796-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGER",
        "first_name": "STEVEN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "14633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.