Active NPI
Amulya Kotha, DMD
- General Practice Dentistry
- Southbury, CT
National Provider Identifier
1053157107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14672
- Practice address
- 30 Quaker Farms Rd
Southbury, CT 06488-2732 - Phone
- (203) 580-4867
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14672 | CT | Primary |
| General Practice Dentistry | 1223G0001X | DN29115 | FL |
Addresses
Primary practice location
30 Quaker Farms Rd
Southbury, CT 06488-2732
Mailing address
26 Belden Ave Unit 1408
Norwalk, CT 06850-3380
Phone (202) 815-7145
Other practice location 1
295 Washington Ave
Hamden, CT 06518-3025
Phone (203) 587-7327
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 |
|---|---|---|---|
| DN29115 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1053157107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BELDEN AVE UNIT 1408",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503380",
"telephone_number": "202-815-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 QUAKER FARMS RD",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064882732",
"telephone_number": "203-580-4867"
}
],
"practiceLocations": [
{
"address_1": "295 Washington Ave",
"address_purpose": "LOCATION",
"city": "Hamden",
"state": "CT",
"postal_code": "065183025",
"country_code": "US",
"telephone_number": "203-587-7327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOTHA",
"first_name": "AMULYA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "14672",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN29115",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.