Individual provider Active NPI

Robert Antonio Cabanas, DMD

  • General Practice Dentistry
  • Fort Dix, NJ
National Provider Identifier
1669692943
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1456 Issued in PR
Practice address
5755 Hartford Rd
Fci Fort Dix
Fort Dix, NJ 08640
Phone
(609) 723-1100
Fax
(609) 723-8712
NPI assigned
Apr 27, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 1456 PR Primary

Addresses

Primary practice location

5755 Hartford Rd
Fci Fort Dix
Fort Dix, NJ 08640

Mailing address

11 Pemberton St
Pemberton, NJ 08068-1111
Phone (609) 726-0341

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
1456PRMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669692943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PEMBERTON ST",
            "city": "PEMBERTON",
            "state": "NJ",
            "postal_code": "080681111",
            "telephone_number": "609-726-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 HARTFORD RD",
            "address_2": "FCI FORT DIX",
            "city": "FORT DIX",
            "state": "NJ",
            "postal_code": "08640",
            "telephone_number": "609-723-1100",
            "fax_number": "609-723-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANAS",
        "first_name": "ROBERT",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dix, 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.