Organization Active NPI

Richard C Connors MD PC

  • Dermatology Physician
  • Greenwich, CT
National Provider Identifier
1023335064
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
016395 Issued in CT
Legal business name
RICHARD C CONNORS MD PC
Practice address
1 Perryridge Rd
Suite 2
Greenwich, CT 06830-4648
Phone
(203) 622-0808
Fax
(203) 622-7038
NPI assigned
Apr 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Richard Charles Connors, M.D.NPI 1538209556
Title
President
Phone
(203) 622-0808

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 016395 CT Primary

Addresses

Primary practice location

1 Perryridge Rd
Suite 2
Greenwich, CT 06830-4648

Mailing address

1 Perryridge Rd
Suite 2
Greenwich, CT 06830-4648
Phone (203) 622-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000374 CT Part B Supplier - Clinic/Group Practice 5496886871 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwich, CT

National Provider Directory

National Provider Directory

Locations

1 Perryridge Rd
#2
Greenwich, CT 06830
Phone (203) 622-0808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1023335064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PERRYRIDGE RD",
            "address_2": "SUITE 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304648",
            "telephone_number": "203-622-0808",
            "fax_number": "203-622-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PERRYRIDGE RD",
            "address_2": "SUITE 2",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068304648",
            "telephone_number": "203-622-0808",
            "fax_number": "203-622-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C CONNORS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "CONNORS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-622-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CT",
            "license": "016395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.