Anil Mukund Mehta, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008670 Issued in CT

Practice address

430 Enfield St
Enfield, CT 06082-2481

Phone

(860) 265-7890

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

No

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

Practice roles

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

• Smileora LLC

  • General Practice Dentistry
  • Enfield, CT
  • NPI 1689064669
  NPD (past) Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1104848019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 EAST STREET NORTH",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "06078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060822481",
            "telephone_number": "860-265-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ANIL",
        "middle_name": "MUKUND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon McMahon
• MD Medical Writing, LLC
• Kelly L Mead, PA-C
• Medical Center Pharmacy LLC
• Emily R Meeker
• Jennifer Lynn Meier, MPT
• Teri L Meigs
• Polina M Melamud, APRN
• David S. Melman, MD
• Karen D Menyfield, LPC

• General Practice Dentistry in Enfield, CT
• Providers in Enfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.