Organization Active NPI

Randall W. Nunn, D.D.S.,P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Toms River, NJ
National Provider Identifier
1770626939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22D101778500 Issued in NJ
Legal business name
RANDALL W. NUNN, D.D.S.,P.A.
Practice address
623 Main St
Toms River, NJ 08753-7455
Phone
(732) 349-9144
Fax
(732) 286-6548
NPI assigned
Feb 15, 2007
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
Dr. Randall W. Nunn, D.D.S.NPI 1053402149
Title
President
Phone
(732) 349-9144

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 22D101778500 NJ Primary

Addresses

Primary practice location

623 Main St
Toms River, NJ 08753-7455

Mailing address

623 Main St
Toms River, NJ 08753-7455
Phone (732) 349-9144

National Provider Directory

National Provider Directory

Locations

623 Main St
Toms River, NJ 08753
Phone (732) 349-9144

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770626939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537455",
            "telephone_number": "732-349-9144",
            "fax_number": "732-286-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 MAIN ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537455",
            "telephone_number": "732-349-9144",
            "fax_number": "732-286-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL W. NUNN, D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-349-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22D101778500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, 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.