Active NPI
Stephen Poon, DDS, FICOI
- General Practice Dentistry
- Stamford, CT
National Provider Identifier
1063753838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12446
- Practice address
- 579 Newfield Ave
Stamford, CT 06905-3302 - Phone
- (203) 890-9300
- Fax
- (203) 890-9250
- NPI assigned
- Mar 4, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12446 | CT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 12446 | CT | Primary |
Addresses
Primary practice location
579 Newfield Ave
Stamford, CT 06905-3302
Mailing address
579 Newfield Ave
Stamford, CT 06905-3302
Phone (203) 890-9300
Other practice location 1
19 Carlton Dr
Mount Kisco, NY 10549-4764
Phone (914) 584-6273
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 |
|---|---|---|---|
| 12446 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dulcet Dental Smiles PC | General Practice | Current | Accepting new patients |
Locations
579 Newfield Ave
Stamford, CT 06905
Phone (203) 378-2760
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1063753838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "579 NEWFIELD AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053302",
"telephone_number": "203-890-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 NEWFIELD AVE",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069053302",
"telephone_number": "203-890-9300",
"fax_number": "203-890-9250"
}
],
"practiceLocations": [
{
"address_1": "19 Carlton Dr",
"address_purpose": "LOCATION",
"city": "Mount Kisco",
"state": "NY",
"postal_code": "105494764",
"country_code": "US",
"telephone_number": "914-584-6273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POON",
"first_name": "STEPHEN",
"credential": "DDS, FICOI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-04",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "12446",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "12446",
"primary": true
}
],
"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 Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.