Individual provider Active NPI

David J Nepa, DMD

  • General Practice Dentistry
  • Haddonfield, NJ
National Provider Identifier
1750436812
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01885800 Issued in NJ
Practice address
501 N Haddon Ave Ste 7
Haddonfield, NJ 08033-1753
Phone
(856) 428-3050
Fax
(856) 428-3060
NPI assigned
Jan 25, 2007
Last updated
Mar 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS027801L PA
General Practice Dentistry 1223G0001X 22DI01885800 NJ Primary

Addresses

Primary practice location

501 N Haddon Ave Ste 7
Haddonfield, NJ 08033-1753

Mailing address

501 N Haddon Ave Ste 7
Haddonfield, NJ 08033-1753
Phone (856) 428-3050

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS027801LPAMDDentist
22DI01885800NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
CCS Dental LLC PastSince Nov 16, 2021 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1750436812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N HADDON AVE STE 7",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331753",
            "telephone_number": "856-428-3050",
            "fax_number": "856-428-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N HADDON AVE STE 7",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331753",
            "telephone_number": "856-428-3050",
            "fax_number": "856-428-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEPA",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS027801L",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01885800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.