Individual provider Active NPI

Keith R Kaplan, D.D.S.

  • General Practice Dentistry
  • Egg Harbor Township, NJ
National Provider Identifier
1780641654
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02589700 Issued in NJ
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160307001056 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1951607654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02589701NJMDDentist
22DI02589700NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Egg Harbor Family Dental, PA Dentist PastSince Aug 18, 2024 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": "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

Verify at the official NPI Registry.