Individual provider Active NPI

Edwin Montano Tanpiengco, D.M.D.

  • General Practice Dentistry
  • Monmouth Junction, NJ
National Provider Identifier
1861416935
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI01702600 Issued in NJ
Practice address
886 Georges Road
Monmouth Junction, NJ 08852
Phone
(732) 951-0099
Fax
(732) 951-2323
NPI assigned
Jul 26, 2006
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17026 NJ
General Practice Dentistry 1223G0001X 042323-1 NY
General Practice Dentistry 1223G0001X 22DI01702600 NJ Primary

Addresses

Primary practice location

886 Georges Road
Monmouth Junction, NJ 08852

Mailing address

886 Georges Road
Monmouth Junction, NJ 08852
Phone (732) 951-0099

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
I20150610000357 NJ Order and Referring Only - DentistPractitioner - Dentist 2062634124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17026NJMDGeneral Practice Dentistry
042323-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dentistry of Southbrunswick 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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1861416935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 GEORGES ROAD",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "08852",
            "telephone_number": "732-951-0099",
            "fax_number": "732-951-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 GEORGES ROAD",
            "city": "MONMOUTH JUNCTION",
            "state": "NJ",
            "postal_code": "08852",
            "telephone_number": "732-951-0099",
            "fax_number": "732-951-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANPIENGCO",
        "first_name": "EDWIN",
        "middle_name": "MONTANO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "17026",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042323-1",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01702600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monmouth Junction, NJ

Sources for this page

Verify at the official NPI Registry.