Organization Active NPI

Signature Smiles of Hartford LLC

  • Dentist
  • Hartford, CT
National Provider Identifier
1154814069
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11401 Issued in CT
Legal business name
SIGNATURE SMILES OF HARTFORD LLC
Practice address
550 Farmington Avenue, Suite B
Hartford, CT 06105
Phone
(860) 956-5555
Fax
(860) 956-5311
NPI assigned
Jun 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Saleh Akbar
Title
Manager
Phone
(860) 680-6326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 11401 CT Primary

Addresses

Primary practice location

550 Farmington Avenue, Suite B
Hartford, CT 06105

Mailing address

550 Farmington Avenue Suite B
Hartford, CT 06105
Phone (860) 956-5555

National Provider Directory

National Provider Directory

Locations

550 Farmington Ave
Ste B
Hartford, CT 06105
Phone (860) 956-5555

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1154814069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FARMINGTON AVENUE SUITE B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-956-5555",
            "fax_number": "860-956-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FARMINGTON AVENUE, SUITE B",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-956-5555",
            "fax_number": "860-956-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES OF HARTFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "AKBAR",
        "authorized_official_first_name": "SALEH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-680-6326"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "11401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.