Individual provider Active NPI

Emily Anne Daponte, M.D.

  • Family Medicine Physician
  • Middletown, CT
National Provider Identifier
1104044411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
039792 Issued in CT
Practice address
327 High St
Middletown, CT 06459-3232
Phone
(860) 685-2470
Fax
(860) 685-2741
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 039792 CT Primary

Addresses

Primary practice location

327 High St
Middletown, CT 06459-3232

Mailing address

30 Richmond LN
West Hartford, CT 06117-1628
Phone (860) 231-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
039792CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wesleyan University - Davison Health Center Past Accepting new patients
Health One Physician Associates LLC Family Medicine PastSince Jan 1, 1999 Accepting new patients
Prohealth Physicians PC Family Medicine Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104044411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RICHMOND LN",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171628",
            "telephone_number": "860-231-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 HIGH ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064593232",
            "telephone_number": "860-685-2470",
            "fax_number": "860-685-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAPONTE",
        "first_name": "EMILY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.