Organization Active NPI

Quinnipiac Endo CT PC

  • Endodontics
  • Wallingford, CT
National Provider Identifier
1093406860
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
QUINNIPIAC ENDO CT PC
Practice address
850 N Main Street Ext Ste D3
Wallingford, CT 06492-2400
Phone
(203) 284-9945
NPI assigned
May 15, 2023
Last updated
May 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Manuel Arturo Sato, DDS, MDSNPI 1497914345
Title
Dentist/ Endodontist
Phone
(860) 424-7818

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
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

850 N Main Street Ext Ste D3
Wallingford, CT 06492-2400

Mailing address

102 Hillside LN
Monroe, CT 06468-3309
Phone (860) 424-7818

National Provider Directory

National Provider Directory

Locations

850 N Main Street Ext
Ste D3
Wallingford, CT 06492
Phone (203) 284-9945

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1093406860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HILLSIDE LN",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064683309",
            "telephone_number": "860-424-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N MAIN STREET EXT STE D3",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922400",
            "telephone_number": "203-284-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINNIPIAC ENDO CT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "SATO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "DENTIST/ ENDODONTIST",
        "authorized_official_telephone_number": "860-424-7818",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.