Active NPI
Keith Stephan Appelbaum, D.M.D.
- Dentist
- Sparta, NJ
National Provider Identifier
1649408550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI02411400
- Practice address
- 1 Professional Quadrangle
Suite 5
Sparta, NJ 07871-2330 - Phone
- (973) 598-3450
- Fax
- (973) 598-3455
- NPI assigned
- Jun 30, 2009
- Last updated
- Jul 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02411400 | NJ | Primary |
Addresses
Primary practice location
1 Professional Quadrangle
Suite 5
Sparta, NJ 07871-2330
Mailing address
51 Hickory Way
Mount Arlington, NJ 07856-1359
Phone (973) 398-7271
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02411400 | NJ | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Sparta, NJ
- NPI 1386086783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1649408550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 HICKORY WAY",
"city": "MOUNT ARLINGTON",
"state": "NJ",
"postal_code": "078561359",
"telephone_number": "973-398-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PROFESSIONAL QUADRANGLE",
"address_2": "SUITE 5",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712330",
"telephone_number": "973-598-3450",
"fax_number": "973-598-3455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPELBAUM",
"first_name": "KEITH",
"middle_name": "STEPHAN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02411400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.