Individual provider Active NPI

William R. Cregar, DDS

  • General Practice Dentistry
  • Sewell, NJ
National Provider Identifier
1548254469
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01340200 Issued in NJ
Practice address
438 Ganttown Rd
Suite B-2
Sewell, NJ 08080-2341
Phone
(856) 589-4300
Fax
(856) 218-0051
NPI assigned
Sep 7, 2005
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
General Practice Dentistry 1223G0001X 22DI01340200 NJ Primary

Addresses

Primary practice location

438 Ganttown Rd
Suite B-2
Sewell, NJ 08080-2341

Mailing address

438 Ganttown Rd
Suite B-2
Sewell, NJ 08080-2341
Phone (856) 589-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548254469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN RD",
            "address_2": "SUITE B-2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802341",
            "telephone_number": "856-589-4300",
            "fax_number": "856-218-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 GANTTOWN RD",
            "address_2": "SUITE B-2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802341",
            "telephone_number": "856-589-4300",
            "fax_number": "856-218-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREGAR",
        "first_name": "WILLIAM",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01340200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.