Active NPI
Jeanne Pinzel Strathearn, DDS
- Dentist
- West Hartford, CT
National Provider Identifier
1023090313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6909
- Practice address
- 12 N Main St
West Hartford, CT 06107-1932 - Phone
- (860) 236-4249
- Fax
- (860) 231-1571
- NPI assigned
- Nov 14, 2005
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6909 | CT | Primary |
Addresses
Primary practice location
12 N Main St
West Hartford, CT 06107-1932
Mailing address
12 N Main St Ste 101
West Hartford, CT 06107-1932
Phone (860) 236-4249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004397213 | Medicaid | CT | |
| 002069096 | Medicaid | CT |
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 |
|---|---|---|---|
| 6909 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1023090313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N MAIN ST STE 101",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071932",
"telephone_number": "860-236-4249",
"fax_number": "860-231-1571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071932",
"telephone_number": "860-236-4249",
"fax_number": "860-231-1571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRATHEARN",
"first_name": "JEANNE",
"middle_name": "PINZEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-14",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "6909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004397213",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002069096",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.