Organization Active NPI

Sparrrow Dentistry

  • Dental Clinic/Center
  • Waterbury, CT
National Provider Identifier
1023725868
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SPARRROW DENTISTRY
Practice address
767 Wolcott St Ste 3
Waterbury, CT 06705-1324
Phone
(919) 593-3791
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Ikechukwu Ihenatu, DDSNPI 1043683733
Title
Dentist
Phone
(919) 593-3791

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

767 Wolcott St Ste 3
Waterbury, CT 06705-1324

Mailing address

1 Wades LNDG
New Milford, CT 06776-2666
Phone (919) 593-3791

National Provider Directory

National Provider Directory

Locations

767 Wolcott St
Ste 3
Waterbury, CT 06705
Phone (919) 593-3791

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": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1023725868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WADES LNDG",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762666",
            "telephone_number": "919-593-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 WOLCOTT ST STE 3",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067051324",
            "telephone_number": "919-593-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARRROW DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "IHENATU",
        "authorized_official_first_name": "IKECHUKWU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-593-3791",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.