Individual provider Active NPI

John B. Dibling, DDS

  • General Practice Dentistry
  • Manalapan, NJ
National Provider Identifier
1689675860
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI15524 Issued in NJ
Practice address
317 Route 9
Alexander Plaza
Manalapan, NJ 07726-3271
Phone
(732) 780-6426
Fax
(732) 409-3514
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 DI15524 NJ Primary

Addresses

Primary practice location

317 Route 9
Alexander Plaza
Manalapan, NJ 07726-3271

Mailing address

317 Route 9
Alexander Plaza
Manalapan, NJ 07726-3271
Phone (732) 780-6426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150828000133 NJ Order and Referring Only - DentistPractitioner - Dentist 3072829530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI15524NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Dental Associates P C Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689675860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 ROUTE 9",
            "address_2": "ALEXANDER PLAZA",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263271",
            "telephone_number": "732-780-6426",
            "fax_number": "732-409-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 ROUTE 9",
            "address_2": "ALEXANDER PLAZA",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263271",
            "telephone_number": "732-780-6426",
            "fax_number": "732-409-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBLING",
        "first_name": "JOHN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

Verify at the official NPI Registry.