Individual provider Active NPI

Craig L Menker, DMD, CAGS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Warren, NJ
National Provider Identifier
1598775892
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DI17700 Issued in NJ
Practice address
58 Mount Bethel Rd
Suite 201
Warren, NJ 07059-2654
Phone
(908) 756-6006
Fax
(908) 756-3211
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DI17700 NJ Primary

Addresses

Primary practice location

58 Mount Bethel Rd
Suite 201
Warren, NJ 07059-2654

Mailing address

58 Mount Bethel Rd
Suite 201
Warren, NJ 07059-2654
Phone (908) 756-6006

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DI17700NJMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1598775892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 MOUNT BETHEL RD",
            "address_2": "SUITE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592654",
            "telephone_number": "908-756-6006",
            "fax_number": "908-756-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 MOUNT BETHEL RD",
            "address_2": "SUITE 201",
            "city": "WARREN",
            "state": "NJ",
            "postal_code": "070592654",
            "telephone_number": "908-756-6006",
            "fax_number": "908-756-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKER",
        "first_name": "CRAIG",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD, CAGS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DI17700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.