Healthy Smiles of Gloucester City

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HEALTHY SMILES OF GLOUCESTER CITY

Practice address

535 Monmouth St
Gloucester City, NJ 08030-1502

Phone

(856) 456-2682

NPI assigned

Feb 19, 2014

Last updated

Feb 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mooni Dilip Shah, DDS

Title

Member

Phone

(856) 456-2682

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1790100360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 MONMOUTH ST",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301502",
            "telephone_number": "856-456-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MONMOUTH ST",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301502",
            "telephone_number": "856-456-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES OF GLOUCESTER CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MOONI",
        "authorized_official_middle_name": "DILIP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-456-2682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keana Fairfax, MSW, LCSW
• Chastiti Fitzgerald, MS, LCADC, LAC
• William Gladle
• Gloucester City Board of Education
• Kristina M Greco, LCSW
• Andrew Edward Herman, DC
• Daniel J Hyman, DO
• Alden Kyu Kim, DMD
• Hannah Kim
• Karen Jane Kirby, LCSW,LCADC

• Dentist in Gloucester City, NJ
• Providers in Gloucester City, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.