Active NPI
Stella L. Laskowski
- Periodontics
- Enfield, CT
National Provider Identifier
1013144039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 5078
- Practice address
- 74 Palomba Drive
Enfield, CT 06082 - Phone
- (860) 253-9166
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 5078 | CT | Primary |
Addresses
Primary practice location
74 Palomba Drive
Enfield, CT 06082
Mailing address
74 Palomba Drive
Enfield, CT 06082
Phone (860) 253-9166
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1013144039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 PALOMBA DRIVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "06082",
"telephone_number": "860-253-9166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 PALOMBA DRIVE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "06082",
"telephone_number": "860-253-9166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASKOWSKI",
"first_name": "STELLA",
"middle_name": "L.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-17",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CT",
"license": "5078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.