Avanthi Tiruvadi, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11841 Issued in CT

Practice address

1700 Post Rd Ste a
Fairfield, CT 06824-5795

Phone

(203) 259-1170

NPI assigned

Jun 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104347384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 POST RD STE A",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 POST RD STE A",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245795",
            "telephone_number": "203-259-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 East Ave Ste 214",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CT",
            "postal_code": "068515014",
            "country_code": "US",
            "telephone_number": "316-305-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRUVADI",
        "first_name": "AVANTHI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "11841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Thompson
• Scott Christopher Thornton, MD
• Jordan Thurman, ATC. LAT
• Laura Tiedemann, MD
• Michael Alan Tierney, D.C.
• TLC & Care LLC
• TLC & Mental Health LLC
• TLC the Laser Center (Connecticut) LLC
• TMJ Therapy Center of CT LLC
• Lara Skye Tohumcu

• Dentist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.