Individual provider Active NPI

Harry Kenneth Zohn, DMD

  • Periodontics
  • Montville, NJ
National Provider Identifier
1518095397
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DI14721 Issued in NJ
Practice address
150 River Rd
Building B - Suite 2B
Montville, NJ 07045-9441
Phone
(973) 331-0909
NPI assigned
Mar 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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
Periodontics 1223P0300X DI14721 NJ Primary

Addresses

Primary practice location

150 River Rd
Building B - Suite 2B
Montville, NJ 07045-9441

Mailing address

150 River Rd
Building B-Suite 2B
Montville, NJ 07045-9441
Phone (973) 331-0909

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
I20150615000049 NJ Order and Referring Only - DentistPractitioner - Dentist 6800107178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI14721NJMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518095397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "BUILDING B-SUITE 2B",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-331-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVER RD",
            "address_2": "BUILDING B - SUITE 2B",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "070459441",
            "telephone_number": "973-331-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOHN",
        "first_name": "HARRY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "DI14721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montville, NJ

Sources for this page

Verify at the official NPI Registry.