Darius P Oshidar, DDS
Individual provider Active NPI Dentist · Wrightstown, NJ
NPI 1851552269 · NPPES record last updated Jun 18, 2008
Key facts
- NPI
- 1851552269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 17047 (NJ)
- Practice address
- 561 Monmouth Rd
Wrightstown, NJ 08562-2125 - Phone
- (609) 758-6773
- NPI assigned
- Jun 18, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150915000093 | NJ | Order and Referring Only - Dentist |
8123335791 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17047 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Smile Center of Cream Ridge, PA | Dentist | Past | Accepting new patients |
| Quality Dental Care | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17047 | NJ | Yes |
Addresses
Primary practice location
561 Monmouth Rd
Wrightstown, NJ 08562-2125
Mailing address
561 Monmouth Rd
Wrightstown, NJ 08562-2125
Phone (609) 758-2244
Other providers in Wrightstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.