NPIMap

Organization Active NPI

Michael J Bixby DMD, LLC

  • Dentist
  • Red Bank, NJ
National Provider Identifier
1992125926
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22DI02038600 Issued in NJ
Legal business name
MICHAEL J BIXBY DMD, LLC
Practice address
250 Maple Ave
Red Bank, NJ 07701-1731
Phone
(732) 224-1160
NPI assigned
Apr 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Michael Bixby, DMDNPI 1689694762
Title
Owner
Phone
(732) 859-4974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22DI02038600 NJ Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

250 Maple Ave
Red Bank, NJ 07701-1731

Mailing address

250 Maple Ave
Red Bank, NJ 07701-1731
Phone (732) 224-1160

National Provider Directory

National Provider Directory

Locations

250 Maple Ave
Red Bank, NJ 07701
Phone (732) 224-1160

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1992125926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011731",
            "telephone_number": "732-224-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011731",
            "telephone_number": "732-224-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J BIXBY DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "BIXBY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-859-4974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02038600",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.