Organization Active NPI

Simply Special Dental of Voorhees, LLC

  • Dentist
  • Voorhees, NJ
National Provider Identifier
1770154635
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SIMPLY SPECIAL DENTAL OF VOORHEES, LLC
Practice address
1000 White Horse Rd Ste 916
Voorhees, NJ 08043-4415
Phone
(856) 772-0007
NPI assigned
Jul 1, 2021
Last updated
Jul 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Authorized official

Name
Dr. Richard Rosenthal, DMDNPI 1669682498
Title
Practice Owner
Phone
(215) 384-6178

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1000 White Horse Rd Ste 916
Voorhees, NJ 08043-4415

Mailing address

1000 White Horse Rd Ste 916
Voorhees, NJ 08043-4415
Phone (856) 772-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260112000246 NJ Part B Supplier - Clinic/Group Practice 5890271639 Receives reassigned benefits from 1 practitioner
Practice locations: Voorhees, NJ

National Provider Directory

National Provider Directory

Locations

1000 White Horse Rd
Ste 916
Voorhees, NJ 08043
Phone (215) 764-7224

Practitioners & affiliated clinicians

Practitioners 1

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": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1770154635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD STE 916",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434415",
            "telephone_number": "856-772-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WHITE HORSE RD STE 916",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434415",
            "telephone_number": "856-772-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY SPECIAL DENTAL OF VOORHEES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "215-384-6178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.