Organization Active NPI

Stanley Fellman & Jeanne Strathearn, D.D.S.

  • General Practice Dentistry
  • West Hartford, CT
National Provider Identifier
1023205176
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3385 Issued in CT
Legal business name
STANLEY FELLMAN & JEANNE STRATHEARN, D.D.S.
Practice address
12 N Main St
Suite 101
West Hartford, CT 06107-1932
Phone
(860) 236-4249
Fax
(860) 236-3726
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Stanley Fellman, D.D.S
Title
Dentist
Phone
(860) 236-4249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3385 CT Primary

Addresses

Primary practice location

12 N Main St
Suite 101
West Hartford, CT 06107-1932

Mailing address

12 N Main St
Suite 101
West Hartford, CT 06107-1932
Phone (860) 236-4249

National Provider Directory

National Provider Directory
Tax ID family
Jeanne P Strathearn DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1023205176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071932",
            "telephone_number": "860-236-4249",
            "fax_number": "860-236-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071932",
            "telephone_number": "860-236-4249",
            "fax_number": "860-236-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY FELLMAN & JEANNE STRATHEARN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "FELLMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-236-4249",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "3385",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 2, 2007; 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.