Active NPI
Cristian Stanescu, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Norwalk, CT
National Provider Identifier
1003809302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11372
- Practice address
- 12 Belden Ave
Norwalk, CT 06850 - Phone
- (203) 286-7972
- NPI assigned
- Aug 23, 2005
- Last updated
- May 30, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048502 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11372 | CT | Primary |
Addresses
Primary practice location
12 Belden Ave
Norwalk, CT 06850
Mailing address
15442 Powells Cove Blvd
Beechhurst, NY 11357-1330
Phone (646) 322-6905
Other practice location 1
4016 74th St
Elmhurst, NY 11373-5602
Phone (718) 205-1900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 032018 | Other | ORTHODONTIC | |
| 02039669 | Medicaid | NY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11372 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 048502 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527638400000",
"number": "1003809302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15442 POWELLS COVE BLVD",
"city": "BEECHHURST",
"state": "NY",
"postal_code": "113571330",
"telephone_number": "646-322-6905",
"fax_number": "718-205-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 BELDEN AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "06850",
"telephone_number": "203-286-7972"
}
],
"practiceLocations": [
{
"address_1": "4016 74th St",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113735602",
"country_code": "US",
"telephone_number": "718-205-1900",
"fax_number": "718-205-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STANESCU",
"first_name": "CRISTIAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2018-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048502",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CT",
"license": "11372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHODONTIC",
"identifier": "032018",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02039669",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.