Organization Active NPI

Glen Hill Dental PC

  • General Practice Dentistry
  • Danbury, CT
National Provider Identifier
1134413008
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10127 Issued in CT
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

Updated by the provider on Jun 7, 2011

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.