NPIMap

Organization Active NPI

Pennington Dental Associates LLC

  • Dentist
  • Pennington, NJ
National Provider Identifier
1740344860
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22D100961500 Issued in NJ
Legal business name
PENNINGTON DENTAL ASSOCIATES LLC
Practice address
31 North Main Street
Pennington, NJ 08534
Phone
(609) 737-0288
Fax
(609) 737-7088
NPI assigned
Dec 21, 2006
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
David H Goodman, DDS
Title
President
Phone
(609) 737-0288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22D100961500 NJ Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

31 North Main Street
Pennington, NJ 08534

Mailing address

31 North Main Street
Pennington, NJ 08534
Phone (609) 737-0288

National Provider Directory

National Provider Directory

Locations

31 N Main St
Pennington, NJ 08534
Phone (609) 737-0288

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1740344860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NORTH MAIN STREET",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-737-0288",
            "fax_number": "609-737-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 NORTH MAIN STREET",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-737-0288",
            "fax_number": "609-737-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNINGTON DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-737-0288",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22D100961500",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.