Individual provider Active NPI

Ceanna C Robinson-Wiley, DMD

  • Dentist
  • Newtown, CT
National Provider Identifier
1003596115
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14799 Issued in CT
Practice address
27 Church Hill Rd
Newtown, CT 06470-1612
Phone
(203) 426-3310
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14799 CT Primary

Addresses

Primary practice location

27 Church Hill Rd
Newtown, CT 06470-1612

Mailing address

27 Church Hill Rd
Newtown, CT 06470-1612
Phone (203) 426-3310

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
I20250710001378 CT Order and Referring Only - DentistPractitioner - Dentist 5991219933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14390CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Newtown Smile Dentistry, PC PastSince Sep 1, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1003596115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701612",
            "telephone_number": "203-426-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701612",
            "telephone_number": "203-426-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-WILEY",
        "first_name": "CEANNA",
        "middle_name": "C",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "14799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

Verify at the official NPI Registry.