New Leaf Family Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010632 Issued in CT

Legal business name

NEW LEAF FAMILY DENTAL PC

Practice address

314 W Main St
Cheshire, CT 06410-2415

Phone

(203) 250-3446

NPI assigned

Mar 19, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Norman Bemis, DMDNPI 1215079363

Title

Owner / General Dentist

Phone

(203) 250-3446

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Gregory Norman Bemis, D.M.D.

  • General Practice Dentistry
  • Cheshire, CT
  • NPI 1215079363
  NPD (past) Authorized official
• Anna Reutenauer, DDS

  • Dentist
  • Meriden, CT
  • NPI 1568980696
  NPD (past)

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1134513872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102415",
            "telephone_number": "203-250-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102415",
            "telephone_number": "203-250-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEAF FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER / GENERAL DENTIST",
        "authorized_official_telephone_number": "203-250-3446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI NUMBER",
            "identifier": "1215079363",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Cheshire, CT
• Providers in Cheshire, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.