NPIMap

Organization Active NPI

Endodontic Solutions LLC

  • Endodontics
  • Avon, CT
National Provider Identifier
1073041489
Registry record updated May 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7753 Issued in CT
Legal business name
ENDODONTIC SOLUTIONS LLC
Practice address
19 Ensign Dr
Avon, CT 06001-3705
Phone
(860) 404-5494
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2017

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

Authorized official

Name
Mrs. Elizabeth Mainville
Title
Office Manager
Phone
(860) 404-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 7753 CT Primary

Addresses

Primary practice location

19 Ensign Dr
Avon, CT 06001-3705

Mailing address

19 Ensign Dr
Avon, CT 06001-3705

National Provider Directory

National Provider Directory

Locations

19 Ensign Dr
Avon, CT 06001
Phone (860) 404-5494

NPI Registry JSON

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496102400000",
    "number": "1073041489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ENSIGN DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ENSIGN DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013705",
            "telephone_number": "860-404-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A",
        "authorized_official_last_name": "MAINVILLE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-404-5494",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "7753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.