NPIMap

Organization Active NPI

Genesis Family Dental

  • Dentist
  • Camden, NJ
National Provider Identifier
1528370269
Registry record updated Jul 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14783 Issued in NJ
Legal business name
GENESIS FAMILY DENTAL
Practice address
1436 Haddon Ave
Camden, NJ 08103-3111
Phone
(856) 541-3627
Fax
(856) 541-1622
NPI assigned
Jul 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2010

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

Authorized official

Name
Dr. Robert L Carter, DDS MPHNPI 1760609739
Title
Dentist
Phone
(856) 541-3627

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14783 NJ Primary

Addresses

Primary practice location

1436 Haddon Ave
Camden, NJ 08103-3111

Mailing address

1436 Haddon Ave
Camden, NJ 08103-3111
Phone (856) 541-3627

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278720000000",
    "number": "1528370269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033111",
            "telephone_number": "856-541-3627",
            "fax_number": "856-541-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033111",
            "telephone_number": "856-541-3627",
            "fax_number": "856-541-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "856-541-3627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MPH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "14783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.