NPIMap

Organization Active NPI

Pure Dental PC

  • General Practice Dentistry
  • Farmington, CT
National Provider Identifier
1003200569
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010827 Issued in CT
Legal business name
PURE DENTAL PC
Practice address
2 Forest Park Dr Ste 1
Farmington, CT 06032-1446
Phone
(860) 558-4473
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Dr. Yuriy May, DMD
Title
Owner
Phone
(860) 558-4473

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 010827 CT Primary

Addresses

Primary practice location

2 Forest Park Dr Ste 1
Farmington, CT 06032-1446

Mailing address

2 Forest Park Dr Ste 1
Farmington, CT 06032-1446
Phone (860) 558-4473

National Provider Directory

National Provider Directory

Locations

2 Forest Park Dr
Ste 1
Farmington, CT 06032
Phone (860) 558-4473

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1003200569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FOREST PARK DR STE 1",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321446",
            "telephone_number": "860-558-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FOREST PARK DR STE 1",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321446",
            "telephone_number": "860-558-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-558-4473",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.