NPIMap

Organization Active NPI

Amita Aggarwal, DMD, LLC

  • General Practice Dentistry
  • Portland, CT
National Provider Identifier
1013129063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
008911 Issued in CT
Legal business name
AMITA AGGARWAL, DMD, LLC
Practice address
322 Main St
Portland, CT 06480-1512
Phone
(860) 342-3303
Fax
(860) 342-1929
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amita Aggarwal, D.M.DNPI 1447326871
Title
Manager
Phone
(860) 342-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 008911 CT Primary

Addresses

Primary practice location

322 Main St
Portland, CT 06480-1512

Mailing address

322 Main St
Portland, CT 06480-1512
Phone (860) 342-3303

National Provider Directory

National Provider Directory

Locations

322 Main St
Portland, CT 06480
Phone (860) 342-3303

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013129063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801512",
            "telephone_number": "860-342-3303",
            "fax_number": "860-342-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MAIN ST",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801512",
            "telephone_number": "860-342-3303",
            "fax_number": "860-342-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITA AGGARWAL, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "AMITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-342-3303",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.