Individual provider Active NPI

Emily Reanne Everlith, DMD

  • General Practice Dentistry
  • Avon, CT
National Provider Identifier
1124813167
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14664 Issued in CT
Practice address
22 Dale Rd Ste 201
Avon, CT 06001-3612
Phone
(860) 233-9300
NPI assigned
Apr 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14664 CT Primary

Addresses

Primary practice location

22 Dale Rd Ste 201
Avon, CT 06001-3612

Mailing address

257 Martin Rd
Hebron, CT 06248-1252

Other identifiers 1

IdentifierTypeStateIssuer
14664OtherCTDENTAL LICENSE

Other names 1

  • Emily Reanne Everlith Taylor Other name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1124813167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 MARTIN RD",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DALE RD STE 201",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013612",
            "telephone_number": "860-233-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERLITH",
        "first_name": "EMILY",
        "middle_name": "REANNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "14664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "14664",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "EVERLITH TAYLOR",
            "middle_name": "REANNE",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.