Individual provider Active NPI

Anna Viner, DDS

  • General Practice Dentistry
  • Lakewood, NJ
National Provider Identifier
1871799577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02330700 Issued in NJ
Practice address
1091 River Ave
8
Lakewood, NJ 08701-5641
Phone
(732) 905-5043
Fax
(732) 905-1382
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02330700 NJ Primary

Addresses

Primary practice location

1091 River Ave
8
Lakewood, NJ 08701-5641

Mailing address

1091 River Ave
8
Lakewood, NJ 08701-5641
Phone (732) 905-5043

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
I20160225001192 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486959632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Family Dental 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871799577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 RIVER AVE",
            "address_2": "8",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015641",
            "telephone_number": "732-905-5043",
            "fax_number": "732-905-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 RIVER AVE",
            "address_2": "8",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015641",
            "telephone_number": "732-905-5043",
            "fax_number": "732-905-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINER",
        "first_name": "ANNA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02330700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.