Organization Active NPI

Little Egg Dental

  • Dentist
  • Little Egg Harbor TWP, NJ
National Provider Identifier
1578990313
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI020487 Issued in NJ
Legal business name
LITTLE EGG DENTAL
Practice address
425 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone
(609) 879-6456
NPI assigned
Oct 10, 2013
Last updated
Oct 10, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Dr. Todd Prager, D.D.S.
Title
Co-Owner
Phone
(609) 879-6456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22DI020487 NJ Primary

Addresses

Primary practice location

425 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225

Mailing address

425 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 879-6456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1578990313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ROUTE 9 S",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872225",
            "telephone_number": "609-879-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ROUTE 9 S",
            "city": "LITTLE EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "080872225",
            "telephone_number": "609-879-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE EGG DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "PRAGER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "609-879-6456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI020487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor TWP, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.