Michael S Alkon, DMD
Individual provider Active NPI General Practice Dentistry · Holmdel, NJ
NPI 1598861973 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598861973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 11434 (NJ)
- Practice address
- 688 N Beers St
Holmdel, NJ 07733 - Phone
- (732) 739-3070
- Fax
- (732) 739-3071
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11434 | NJ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11434 | NJ | Yes |
Addresses
Primary practice location
688 N Beers St
Holmdel, NJ 07733
Mailing address
688 N Beers St
Holmdel, NJ 07733
Phone (732) 739-3070
NPI Registry JSON
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598861973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "688 N BEERS ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-739-3070",
"fax_number": "732-739-3071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "688 N BEERS ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-739-3070",
"fax_number": "732-739-3071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALKON",
"first_name": "MICHAEL",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "11434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Holmdel, NJ · General Practice Dentistry in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.