Active NPI
Richard F Amato, D.D.S.
- Periodontics
- Monroe, CT
National Provider Identifier
1043344641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 006652
- Practice address
- 324 Elm St
Suite 103a
Monroe, CT 06468-2280 - Phone
- (203) 268-2000
- Fax
- (203) 268-2362
- NPI assigned
- Mar 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 006652 | CT | Primary |
Addresses
Primary practice location
324 Elm St
Suite 103a
Monroe, CT 06468-2280
Mailing address
324 Elm St
Suite 103a
Monroe, CT 06468-2280
Phone (203) 268-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006652 | CT | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043344641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 ELM ST",
"address_2": "SUITE 103A",
"city": "MONROE",
"state": "CT",
"postal_code": "064682280",
"telephone_number": "203-268-2000",
"fax_number": "203-268-2362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 ELM ST",
"address_2": "SUITE 103A",
"city": "MONROE",
"state": "CT",
"postal_code": "064682280",
"telephone_number": "203-268-2000",
"fax_number": "203-268-2362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMATO",
"first_name": "RICHARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CT",
"license": "006652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.