John Santorella, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

004743 Issued in CT

Practice address

20 N Main St
Norwalk, CT 06854-2656

Phone

(203) 866-6658

NPI assigned

Mar 3, 2007

Sex

Male

Sole proprietor

No

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": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154450526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542656",
            "telephone_number": "203-866-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542656",
            "telephone_number": "203-866-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORELLA",
        "first_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "004743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles T. Sansolo, LCSW
• Sulika Santana
• Thomas C. Santaniello, D.M.D.
• Pamela Santapaola, ND
• Sarah Elizabeth Santisi, RD
• Simone Tiffany Sapp, LPC-A
• Marta Sarzynski, APRN
• Mitchell Teodosio Sasis
• Nicole Elizabeth Sasso, MS, PA-C
• Shayla Satkowski, CRNA

• General Practice Dentistry in Norwalk, CT
• Providers in Norwalk, 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.