Organization Active NPI

Comprehensive Family Dentistry

  • Dentist
  • Voorhees, NJ
National Provider Identifier
1972877298
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1570300 Issued in NJ
Legal business name
COMPREHENSIVE FAMILY DENTISTRY
Practice address
180 Route 73
Suite 1202 Sturbridge Office Park
Voorhees, NJ 08043-9546
Phone
(856) 753-2900
Fax
(856) 753-5151
NPI assigned
Mar 5, 2012
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Dr. Michael Benjamin Honrychs, DMD
Title
Owner/Dentist
Phone
(856) 753-2900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1570300 NJ Primary
Dentist 122300000X 2408500 NJ

Addresses

Primary practice location

180 Route 73
Suite 1202 Sturbridge Office Park
Voorhees, NJ 08043-9546

Mailing address

180 Route 73 North
Suite 1202 Sturbridge Office Park
Voorhees, NJ 08043-9505
Phone (856) 753-2900

Other identifiers 3

IdentifierTypeStateIssuer
0248673MedicaidNJ
7407602MedicaidNJ
6877401MedicaidNJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1972877298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ROUTE 73 NORTH",
            "address_2": "SUITE 1202 STURBRIDGE OFFICE PARK",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439505",
            "telephone_number": "856-753-2900",
            "fax_number": "856-753-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ROUTE 73",
            "address_2": "SUITE 1202 STURBRIDGE OFFICE PARK",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439546",
            "telephone_number": "856-753-2900",
            "fax_number": "856-753-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "HONRYCHS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "856-753-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "1570300",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "2408500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0248673",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7407602",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6877401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.