Organization Active NPI

Clabaugh & Trentalancia, PC

  • Dentist
  • Stamford, CT
National Provider Identifier
1043470545
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
006343 Issued in CT
Legal business name
CLABAUGH & TRENTALANCIA, PC
Practice address
22 5TH St
Stamford, CT 06905-5030
Phone
(203) 327-2540
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Craig C Clabaugh, D.M.D.
Title
Dentist/President/Owner
Phone
(203) 327-2540

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 006343 CT Primary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 007854 CT
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X 003309 CT
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X 006381 CT

Addresses

Primary practice location

22 5TH St
Stamford, CT 06905-5030

Mailing address

22 5TH St
Stamford, CT 06905-5030
Phone (203) 327-2540

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1043470545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 5TH ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055030",
            "telephone_number": "203-327-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 5TH ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055030",
            "telephone_number": "203-327-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLABAUGH & TRENTALANCIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "CLABAUGH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "203-327-2540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "006343",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "007854",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "003309",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "006381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.