Christopher A Fallago, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12668 Issued in CT

Practice address

8 E Main St Ste 202
Clinton, CT 06413-2058

Phone

(401) 688-3097

NPI assigned

Feb 23, 2016

Sex

Male

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

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.

• Brian K. Sawchuk, D.D.S. and David J. Sliva, D.M.D., L.L. C.

  • General Practice Dentistry
  • Clinton, CT
  • NPI 1164864823

  General Practice

  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1114386802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WINDERMERE WAY",
            "city": "IVORYTON",
            "state": "CT",
            "postal_code": "064421234",
            "telephone_number": "860-669-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E MAIN ST STE 202",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132058",
            "telephone_number": "401-688-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAGO",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Decaprio, RN
• Lori Evelyn Demayo, FNP
• Dermatology in Clinton, LLP
• Dr. Andrew M. Berliner
• Edward I Winokur MD
• Amelia R Farnham, PHARMD
• Jody M Farrell, MS
• Gail Fasciano, RN
• Katherine Audra Fillion, LPC
• Catherine Marie Finkeldey, LPC

• All providers in Clinton, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.