Individual provider Active NPI

Elizabeth Anne Dekker, DDS

  • Dentist
  • Sharon, CT
National Provider Identifier
1003017757
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8381 Issued in CT
Practice address
344 Gay STR
Sharon, CT 06069
Phone
(860) 364-5001
Fax
(860) 364-0145
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8381 CT Primary

Addresses

Primary practice location

344 Gay STR
Sharon, CT 06069

Mailing address

PO Box 176
Sharon, CT 06069
Phone (860) 364-5001

Other names 1

  • Elizabeth Bensyl Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003017757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "06069",
            "telephone_number": "860-364-5001",
            "fax_number": "860-364-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 GAY STR",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "06069",
            "telephone_number": "860-364-5001",
            "fax_number": "860-364-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKKER",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "8381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BENSYL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sharon, CT

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.