NPIMap

Organization Active NPI

Shapiro Family Dentistry LLC

  • Dentist
  • Wethersfield, CT
National Provider Identifier
1073670600
Registry record updated Feb 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4232 Issued in CT
Legal business name
SHAPIRO FAMILY DENTISTRY LLC
Practice address
1307 Silas Deane Hwy
Wethersfield, CT 06109-4302
Phone
(860) 563-4058
Fax
(860) 529-2906
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2020

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

Authorized official

Name
Neil Shapiro, DMDNPI 1841622446
Title
Owner-Dentist
Phone
(860) 563-4058

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4232 CT Primary

Addresses

Primary practice location

1307 Silas Deane Hwy
Wethersfield, CT 06109-4302

Mailing address

1307 Silas Deane Hwy
Wethersfield, CT 06109-4302
Phone (860) 563-4058

National Provider Directory

National Provider Directory

Locations

1307 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 563-4058

Practitioners & affiliated clinicians

Practitioners 4

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1073670600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094302",
            "telephone_number": "860-563-4058",
            "fax_number": "860-529-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094302",
            "telephone_number": "860-563-4058",
            "fax_number": "860-529-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAPIRO FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER-DENTIST",
        "authorized_official_telephone_number": "860-563-4058",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "4232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.