James Douglas Kavanaugh, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

85 S Maple Ave
Basking Ridge, NJ 07920-1230

Phone

(908) 766-6775

Fax

(908) 766-6651

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932283991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MAPLE VILLAGE CT",
            "city": "BERNARDSVILLE",
            "state": "NJ",
            "postal_code": "079242531",
            "telephone_number": "908-221-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S MAPLE AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201230",
            "telephone_number": "908-766-6775",
            "fax_number": "908-766-6651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAUGH",
        "first_name": "JAMES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergiusz I Kaftal, M.D
• Sarah Kane, MS
• Beth Anne Kaplan, A-GNP-C
• Amber Clare Kaplun, MS, CGC
• Svetlana Karasina
• Jessica Kaye
• Kdutt LLC
• Kaitlyn Keegan
• Kathleen Marie Keegan, PT, MHS, OCS
• Susan Kevelson, LCSW

• General Practice Dentistry in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.