Orthohq PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

ORTHOHQ PC

Doing business as

Elm Tree Orthodontics

Practice address

2989 Dixwell Ave
Hamden, CT 06518-3501

Phone

(203) 281-1022

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Shamik Desai, DMD

Title

President

Phone

(203) 281-1022

Specialties & licenses 1

Addresses

Other names 1

• Elm Tree Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1033862909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2989 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183501",
            "telephone_number": "203-281-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2989 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183501",
            "telephone_number": "203-281-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOHQ PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHAMIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-281-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elm Tree Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellen Ormond Zummo, APRN
• Susel Oropesa, MD
• Anamaria Orozco
• Erin Orozco, FNP
• Jonathan Emmanuel Orozco
• William Raymond Ortman, DMD
• Karen Orzack-Moore, LCSW
• Robert B Ostroff, MD
• Our Village LLC
• Heidi Outtrim, LCSW

• Orthodontics and Dentofacial Orthopedics Dentistry in Hamden, CT
• Providers in Hamden, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

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