Organization Active NPI

Jack D Berns DDS & Anthony T Dioguardi DMD

  • Dental Clinic/Center
  • New Haven, CT
National Provider Identifier
1063436574
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6446 Issued in CT
Legal business name
JACK D BERNS DDS & ANTHONY T DIOGUARDI DMD
Practice address
123 York St
Suite 2J
New Haven, CT 06511-5614
Phone
(203) 777-2513
Fax
(203) 776-1714
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Anthony Thomas DioguardiNPI 1407870231
Title
Owner/Partner
Phone
(203) 777-2513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6446 CT Primary

Addresses

Primary practice location

123 York St
Suite 2J
New Haven, CT 06511-5614

Mailing address

123 York St
Suite 2J
New Haven, CT 06511-5614
Phone (203) 777-2513

Other names 1

  • ANTHONY DIOGUARDI DMD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140108000310 CT DME Supplier - Oral Surgery - Dentist 7416185913 Practice locations: New Haven, CT

National Provider Directory

National Provider Directory

Locations

123 York St
Ste 2J
New Haven, CT 06511
Phone (203) 777-2513

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1063436574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 YORK ST",
            "address_2": "SUITE 2J",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115614",
            "telephone_number": "203-777-2513",
            "fax_number": "203-776-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 YORK ST",
            "address_2": "SUITE 2J",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115614",
            "telephone_number": "203-777-2513",
            "fax_number": "203-776-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D BERNS DDS & ANTHONY T DIOGUARDI DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "DIOGUARDI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "203-777-2513",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "6446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTHONY DIOGUARDI DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.