Peter Dantini, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

007429 Issued in CT

Practice address

12 Camp Ave
Stamford, CT 06907-1801

Phone

(203) 322-5397

Fax

(203) 968-1241

NPI assigned

Oct 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144306523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAMP AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071801",
            "telephone_number": "203-322-5397",
            "fax_number": "203-968-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAMP AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069071801",
            "telephone_number": "203-322-5397",
            "fax_number": "203-968-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTINI",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dahl, DPT
• Reid Joseph Daitzman, PH.D.
• Devesh Dalmia, MD
• Karen Elizabeth Dalton, M.D.
• Danielcare, LLC
• Ashley Dascola, IWLC
• Denna Dashti, DC
• Debra A Daunt, MD
• Danielle Daure, MSED, BCBA
• Danielle Rose Davari, MD

• General Practice Dentistry in Stamford, CT
• Providers in Stamford, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.