Organization Active NPI

New England Endodontics PC

Doing business as Storrs Endodontics & Periodontics

  • Endodontics
  • Storrs, CT
National Provider Identifier
1144898503
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
NEW ENGLAND ENDODONTICS PC
Doing business as
Storrs Endodontics & Periodontics
Practice address
1022 Storrs Rd Ste C
Storrs, CT 06268-2639
Phone
(860) 429-2051
Fax
(860) 429-2053
NPI assigned
Jun 14, 2021
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW ENGLAND ENDODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Christine Branigan
Title
Credentialing Administrator
Phone
(631) 696-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

1022 Storrs Rd Ste C
Storrs, CT 06268-2639

Mailing address

66 Dwight Rd Ste 4
Longmeadow, MA 01106-1949
Phone (413) 565-2733

Other names 1

  • Storrs Endodontics & Periodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New England Endodontics PC3 organizations share this tax ID, including this one
Part of
New England Endodontics PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1022 Storrs Rd
Ste C
Storrs, CT 06268
Phone (860) 429-2051

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1144898503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DWIGHT RD STE 4",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061949",
            "telephone_number": "413-565-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 STORRS RD STE C",
            "city": "STORRS",
            "state": "CT",
            "postal_code": "062682639",
            "telephone_number": "860-429-2051",
            "fax_number": "860-429-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ENDODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ENGLAND ENDODONTICS PC",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BRANIGAN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "631-696-0100"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Storrs Endodontics & Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Storrs, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.