Active NPI
Keith R Kaplan, D.D.S.
- General Practice Dentistry
- Egg Harbor Township, NJ
National Provider Identifier
1780641654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02589700
- Practice address
- 3003 English Creek Ave Ste D1
Egg Harbor Township, NJ 08234-4878 - Phone
- (609) 484-5996
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02589701 | NJ | |
| General Practice Dentistry | 1223G0001X | 22DI02589700 | NJ | Primary |
Addresses
Primary practice location
3003 English Creek Ave Ste D1
Egg Harbor Township, NJ 08234-4878
Mailing address
908 N Burghley Ave
Ventnor City, NJ 08406-1104
Phone (165) 090-3025
Other practice location 1
908 N Burghley Ave
Ventnor City, NJ 08406-1104
Phone (516) 509-0302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160307001056 | NJ | Order and Referring Only - Oral Surgery | 1951607654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02589701 | NJ | MD | Dentist |
| 22DI02589700 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Egg Harbor Family Dental, PA | Dentist | Past | 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.
-
- Dentist
- Egg Harbor Township, NJ
- NPI 1104880863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1780641654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 N BURGHLEY AVE",
"city": "VENTNOR CITY",
"state": "NJ",
"postal_code": "084061104",
"telephone_number": "165-090-3025",
"fax_number": "516-783-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3003 ENGLISH CREEK AVE STE D1",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082344878",
"telephone_number": "609-484-5996"
}
],
"practiceLocations": [
{
"address_1": "908 N Burghley Ave",
"address_purpose": "LOCATION",
"city": "Ventnor City",
"state": "NJ",
"postal_code": "084061104",
"country_code": "US",
"telephone_number": "516-509-0302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPLAN",
"first_name": "KEITH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02589701",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02589700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.