Niloo Gorji

Key facts

NPI

1003001207

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

8725 (CT)

Practice address

359 Merrow Road
Tolland, CT 06084-3961

Phone

(860) 875-9000

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2007.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1003001207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 MERROW RD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843961",
            "telephone_number": "860-875-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 MERROW ROAD",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843961",
            "telephone_number": "860-875-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORJI",
        "first_name": "NILOO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Tolland, CT · General Practice Dentistry in Connecticut