Candid Connecticut, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

CANDID CONNECTICUT, PLLC

Practice address

615 W Johnson Ave Ste 202
Cheshire, CT 06410-4532

Phone

(860) 481-7631

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Thomas Shannon

Title

DDS

Phone

(860) 481-7631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1093322174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W JOHNSON AVE STE 202",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104532",
            "telephone_number": "860-481-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W JOHNSON AVE STE 202",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104532",
            "telephone_number": "860-481-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDID CONNECTICUT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "SHANNON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-481-7631"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gia Marie Caiazza, OT
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• Elizabeth Calvanese, PTA
• Steven E Canada, LICENSED OPTICIAN
• Colleen A Canas, MS CCC SLP
• Mara S Capuano, O.D.
• Nicole Caputo
• Erin Kathleen Cardon, MD
• Denise Carmen
• Nicholas Theodore Carnevale, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.