Organization Active NPI

Pediatric Dental Care

  • Pediatric Dentistry
  • Shrewsbury, NJ
National Provider Identifier
1831277979
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8918 Issued in NJ
Legal business name
PEDIATRIC DENTAL CARE
Practice address
167 Avenue of the CMN Ste 16
Shrewsbury, NJ 07702-4557
Phone
(732) 544-0050
Fax
(732) 544-0661
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Dr. Robert F. McGuire, D.D.S.
Title
Pediatric Dentist
Phone
(732) 544-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 8918 NJ Primary

Addresses

Primary practice location

167 Avenue of the CMN Ste 16
Shrewsbury, NJ 07702-4557

Mailing address

167 Avenue of the CMN Ste 16
Shrewsbury, NJ 07702-4557
Phone (732) 544-0050

Other identifiers 1

IdentifierTypeStateIssuer
6167OtherNJDELTA DENTAL PIN NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1831277979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 AVENUE OF THE CMN STE 16",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024557",
            "telephone_number": "732-544-0050",
            "fax_number": "732-544-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 AVENUE OF THE CMN STE 16",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024557",
            "telephone_number": "732-544-0050",
            "fax_number": "732-544-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "732-544-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "8918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL PIN NUMBER",
            "identifier": "6167",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.