Organization Active NPI

Family & Esthetic Dentistry of Hamden LLC

  • General Practice Dentistry
  • Hamden, CT
National Provider Identifier
1033322805
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8417 Issued in CT
Legal business name
FAMILY & ESTHETIC DENTISTRY OF HAMDEN LLC
Practice address
2559 Dixwell Avenue
Hamden, CT 06514
Phone
(203) 248-0072
Fax
(203) 407-8063
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Fratarcangeli, DMDNPI 1942413711
Title
Dentist Owner
Phone
(203) 248-0072

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6325 CT
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8417 CT Primary

Addresses

Primary practice location

2559 Dixwell Avenue
Hamden, CT 06514

Mailing address

2559 Dixwell Avenue
Hamden, CT 06514
Phone (203) 248-0072

National Provider Directory

National Provider Directory

Locations

2559 Dixwell Ave
Hamden, CT 06514
Phone (203) 248-0072

Practitioners & affiliated clinicians

Practitioners 2

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033322805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2559 DIXWELL AVENUE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-248-0072",
            "fax_number": "203-407-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2559 DIXWELL AVENUE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-248-0072",
            "fax_number": "203-407-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY & ESTHETIC DENTISTRY OF HAMDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRATARCANGELI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "203-248-0072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6325",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.