Organization Active NPI

The Dental Center of Westport

  • General Practice Dentistry
  • Westport, CT
National Provider Identifier
1104983345
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8491 Issued in CT
Legal business name
THE DENTAL CENTER OF WESTPORT
Practice address
250 Main St
Westport, CT 06880-2431
Phone
(203) 227-8700
Fax
(203) 227-0680
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Dr. Masha Kogan, DDSNPI 1952642274
Title
Dentist
Phone
(203) 227-8700

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8491 CT Primary

Addresses

Primary practice location

250 Main St
Westport, CT 06880-2431

Mailing address

250 Main St
Westport, CT 06880-2431
Phone (203) 227-8700

National Provider Directory

National Provider Directory
Tax ID family
Huntington Dental Center Childrens2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1104983345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802431",
            "telephone_number": "203-227-8700",
            "fax_number": "203-227-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802431",
            "telephone_number": "203-227-8700",
            "fax_number": "203-227-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL CENTER OF WESTPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "MASHA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-227-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.