Organization Active NPI

C&S Dental Care LLC

  • Dental Clinic/Center
  • Hartford, CT
National Provider Identifier
1023530441
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
011234 Issued in CT
Legal business name
C&S DENTAL CARE LLC
Practice address
456 Park St
Hartford, CT 06106-1525
Phone
(860) 293-2000
Fax
(860) 293-2007
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bohun Choi
Title
DDS
Phone
(585) 732-1994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 011234 CT Primary

Addresses

Primary practice location

456 Park St
Hartford, CT 06106-1525

Mailing address

456 Park St
Hartford, CT 06106-1525
Phone (860) 293-2000

Other names 1

  • Park street family dental Doing business as

National Provider Directory

National Provider Directory

Locations

456 Park St
Hartford, CT 06106
Phone (860) 293-2000

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023530441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 PARK ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061525",
            "telephone_number": "860-293-2000",
            "fax_number": "860-293-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 PARK ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061525",
            "telephone_number": "860-293-2000",
            "fax_number": "860-293-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&S DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "BOHUN",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "585-732-1994"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "011234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park street family dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.