Active NPI
New England Endodontics PC
Doing business as Storrs Endodontics & Periodontics
- Endodontics
- Storrs, CT
National Provider Identifier
1144898503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- NEW ENGLAND ENDODONTICS PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary | ||
| Periodontics | 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
National Provider Directory
National Provider Directory- Tax ID family
- New England Endodontics PC
- 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.
-
dba Connecticut Endodontic Associates
- Endodontics
- Manchester, CT
- NPI 1407572605
-
dba Connecticut Endodontics Associates
- Endodontics
- Windsor, CT
- NPI 1952027153
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.