Individual provider Active NPI

Kaitlin Mary Peretto, D.M.D.

  • General Practice Dentistry
  • Winsted, CT
National Provider Identifier
1003170374
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11006 Issued in CT
Practice address
10 Hinsdale Ave
Winsted, CT 06098-1133
Phone
(860) 379-4382
NPI assigned
Jul 1, 2012
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11006 CT Primary

Addresses

Primary practice location

10 Hinsdale Ave
Winsted, CT 06098-1133

Mailing address

10 Hinsdale Ave
Winsted, CT 06098-1133
Phone (860) 379-2384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000144 CT Order and Referring Only - DentistPractitioner - Dentist 7719298413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11006CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KP Dental Inc General Practice CurrentSince May 12, 2024 Accepting new patients
Dasilva Dental LLC General Practice Past Accepting new patients
Melvin I. Spielberg,M.D. P.C. PastSince Aug 7, 1997 Accepting new patients
William P. Ryan, DMD, LLC General Practice PastSince Nov 8, 2025 Accepting new patients

Locations

10 Hinsdale Ave
Winsted, CT 06098
Phone (860) 379-4382

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1003170374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HINSDALE AVE",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981133",
            "telephone_number": "860-379-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HINSDALE AVE",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "060981133",
            "telephone_number": "860-379-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERETTO",
        "first_name": "KAITLIN",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-01",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winsted, CT

Sources for this page

Verify at the official NPI Registry.