Active NPI
Kenneth A Soffer, DMD
- Dentist
- Clementon, NJ
National Provider Identifier
1982803318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI017480
- Practice address
- 132 White Horse Pike
Clementon, NJ 08021-4159 - Phone
- (856) 783-4949
- NPI assigned
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DI017480 | NJ | Primary |
Addresses
Primary practice location
132 White Horse Pike
Clementon, NJ 08021-4159
Mailing address
132 White Horse Pike
Clementon, NJ 08021-4159
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI017480 | NJ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1982803318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 WHITE HORSE PIKE",
"city": "CLEMENTON",
"state": "NJ",
"postal_code": "080214159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 WHITE HORSE PIKE",
"city": "CLEMENTON",
"state": "NJ",
"postal_code": "080214159",
"telephone_number": "856-783-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOFFER",
"first_name": "KENNETH",
"middle_name": "A",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI017480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clementon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.