NPIMap

Organization Active NPI

John D Kernan DMD PA

  • General Practice Dentistry
  • Westmont, NJ
National Provider Identifier
1689719288
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01100200 Issued in NJ
Legal business name
JOHN D KERNAN DMD PA
Practice address
658 W Cuthbert Blvd
Westmont, NJ 08108-3642
Phone
(856) 869-8660
Fax
(856) 869-8686
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter Uber Burton
Title
Controller Secretary
Phone
(856) 869-8660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI01100200 NJ Primary

Addresses

Primary practice location

658 W Cuthbert Blvd
Westmont, NJ 08108-3642

Mailing address

658 W Cuthbert Blvd
Westmont, NJ 08108-3642
Phone (856) 869-8660

Other names 1

  • William T DeFeo DDS PA Former legal business name

National Provider Directory

National Provider Directory

Locations

658 W Cuthbert Blvd
Haddon Township, NJ 08108
Phone (856) 869-8660

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689719288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 W CUTHBERT BLVD",
            "city": "WESTMONT",
            "state": "NJ",
            "postal_code": "081083642",
            "telephone_number": "856-869-8660",
            "fax_number": "856-869-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W CUTHBERT BLVD",
            "city": "WESTMONT",
            "state": "NJ",
            "postal_code": "081083642",
            "telephone_number": "856-869-8660",
            "fax_number": "856-869-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D KERNAN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "UBER",
        "authorized_official_title_or_position": "CONTROLLER SECRETARY",
        "authorized_official_telephone_number": "856-869-8660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01100200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "William T DeFeo DDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westmont, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.