Active NPI
Richard Putnam, DMD
- General Practice Dentistry
- New Britain, CT
National Provider Identifier
1154380509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 008776
- Practice address
- 1 Washington SQ
New Britain, CT 06051-1848 - Phone
- (860) 224-3642
- Fax
- (860) 826-5557
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 008776 | CT | Primary |
Addresses
Primary practice location
1 Washington SQ
New Britain, CT 06051-1848
Mailing address
85 Lafayette Street
New Britain, CT 06051
Phone (860) 224-3642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236156 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008776 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332806400000",
"number": "1154380509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 LAFAYETTE STREET",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "06051",
"telephone_number": "860-224-3642",
"fax_number": "860-826-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WASHINGTON SQ",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060511848",
"telephone_number": "860-224-3642",
"fax_number": "860-826-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "RICHARD",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2012-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "008776",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236156",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.