Individual provider Active NPI

Tori Elizabeth Saferin, DMD

  • General Practice Dentistry
  • Cromwell, CT
National Provider Identifier
1043565054
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10980 Issued in CT
Practice address
30 Country Squire Dr
Cromwell Dental
Cromwell, CT 06416-2512
Phone
(860) 635-6445
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10980 CT Primary

Addresses

Primary practice location

30 Country Squire Dr
Cromwell Dental
Cromwell, CT 06416-2512

Mailing address

30 Country Squire Dr
Cromwell Dental
Cromwell, CT 06416-2512
Phone (860) 635-6445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507000801 CT Order and Referring Only - DentistPractitioner - Dentist 7214256536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374019200000",
    "number": "1043565054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COUNTRY SQUIRE DR",
            "address_2": "CROMWELL DENTAL",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162512",
            "telephone_number": "860-635-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 COUNTRY SQUIRE DR",
            "address_2": "CROMWELL DENTAL",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162512",
            "telephone_number": "860-635-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFERIN",
        "first_name": "TORI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2013-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

Verify at the official NPI Registry.