NPIMap

Organization Active NPI

Danbury Public School

  • Public Health Dentistry
  • Danbury, CT
National Provider Identifier
1083801427
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
8431 Issued in CT
Legal business name
DANBURY PUBLIC SCHOOL
Practice address
63 Beaver Brook Rd
Danbury, CT 06810-6211
Phone
(203) 790-2812
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Kim Doan
Title
Dental Services Coordinator
Phone
(203) 790-2812

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X 9322 CT
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X 8431 CT Primary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X 9825 CT
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X 004700 CT
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X 005986 CT
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X 002145 CT

Addresses

Primary practice location

63 Beaver Brook Rd
Danbury, CT 06810-6211

Mailing address

63 Beaver Brook Rd
Danbury, CT 06810-6211

Other names 1

  • danbury public school dental program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Danbury Public School3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1083801427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BEAVER BROOK RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BEAVER BROOK RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106211",
            "telephone_number": "203-790-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANBURY PUBLIC SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "DENTAL SERVICES COORDINATOR",
        "authorized_official_telephone_number": "203-790-2812"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CT",
            "license": "9322",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CT",
            "license": "8431",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "CT",
            "license": "9825",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "004700",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "005986",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "002145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "danbury public school dental program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.