Active NPI
Glen Hill Dental PC
- General Practice Dentistry
- Danbury, CT
National Provider Identifier
1134413008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10127
- Legal business name
- GLEN HILL DENTAL PC
- Practice address
- 2 Glen Hill Rd
Danbury, CT 06811-4906 - Phone
- (203) 797-9392
- Fax
- (203) 797-9588
- NPI assigned
- Jun 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kosha Shah, DDS
- Title
- Dentist
- Phone
- (203) 797-9392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10127 | CT | Primary |
Addresses
Primary practice location
2 Glen Hill Rd
Danbury, CT 06811-4906
Mailing address
2 Glen Hill Rd
Danbury, CT 06811-4906
Phone (203) 797-9392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307404800000",
"number": "1134413008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GLEN HILL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114906",
"telephone_number": "203-797-9392",
"fax_number": "203-797-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GLEN HILL RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068114906",
"telephone_number": "203-797-9392",
"fax_number": "203-797-9588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLEN HILL DENTAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-07",
"last_updated": "2011-06-07",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "KOSHA",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "203-797-9392",
"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": "10127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.