Center for Esthetic and Restorative Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

License

7630 Issued in CT

Legal business name

CENTER FOR ESTHETIC AND RESTORATIVE DENTISTRY, LLC

Practice address

47 Clapboard Hill Rd Ste 3
Guilford, CT 06437-2282

Phone

(203) 458-1992

NPI assigned

May 23, 2007

Organization subpart

No

Name

James Heise, D.D.S.NPI 1801016373

Title

Co-Owner

Phone

(203) 458-1992

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Heise, D.D.S.

  • Dentist
  • Guilford, CT
  • NPI 1801016373
  NPD (past) Authorized official DENTIST
• Nupur Narain Heise

  • Dentist
  • Guilford, CT
  • NPI 1851511323
  NPD (past) DENTIST

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2008.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1043420441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CLAPBOARD HILL RD STE 3",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CLAPBOARD HILL RD STE 3",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372282",
            "telephone_number": "203-458-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ESTHETIC AND RESTORATIVE DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "203-458-1992",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "7630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miruna Carnaru, M.D.
• Elizabeth Carozza, MS, CCC-SLP
• Michael Carrano, LO
• Jon Paul Cartier, LICENSED OPTICIAN
• Rachel Marie Cataudella, MAATC, LPC
• Centrality Physical Therapy & Wellness, PC
• Victoria Brooks Leefe Chamberlin, DC
• Chestnut Sleep Consultants LLC
• Zeno N. Chicarilli, M.D., D.M.D.
• Child Neurology Associates LLP

• All providers in Guilford, CT
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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.