Active NPI
Cynthia Jetter, DMD
- General Practice Dentistry
- Voorhees, NJ
National Provider Identifier
1528097185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DI01582300
- Practice address
- 1000 White Horse Rd
Suite 908
Voorhees, NJ 08043-4406 - Phone
- (856) 772-1400
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | DI01582300 | NJ | Primary |
Addresses
Primary practice location
1000 White Horse Rd
Suite 908
Voorhees, NJ 08043-4406
Mailing address
1000 White Horse Rd
Suite 908
Voorhees, NJ 08043-4406
Phone (856) 772-1400
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150106000483 | NJ | Order and Referring Only - Dentist | 6305169913 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI01582300 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528097185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 WHITE HORSE RD",
"address_2": "SUITE 908",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434406",
"telephone_number": "856-772-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WHITE HORSE RD",
"address_2": "SUITE 908",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434406",
"telephone_number": "856-772-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETTER",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI01582300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Voorhees, NJ
- Jefferson University Physicians of New Jersey
- Jefferson University Physicians of New Jersey, P.C.
- Jefferson University Physicians of New Jersey, P.C.
- Jeffhome NJ, LLC.
- Jeffrey Martin Shubach D.M.D.; F.a.G.D.; P.a.
- Donald Jetter, DMD
- Jewish Family and Children'S Service of Southern New Jersey
- Chellapandian Jeyaram, M.D.
- Deval Jhaveri, DO
- Jillian Buckley Nutrition LLC
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.