Individual provider Active NPI

Richard Matthew Delvecchio, D.D.S.

  • General Practice Dentistry
  • Fairfield, CT
National Provider Identifier
1164685459
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010081 Issued in CT
Practice address
320 Kings Hwy E
Fairfield, CT 06825-4813
Phone
(203) 337-6262
Fax
(203) 993-6057
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 010081 CT Primary

Addresses

Primary practice location

320 Kings Hwy E
Fairfield, CT 06825-4813

Mailing address

145 Boston Post Rd
West Haven, CT 06516-2026
Phone (203) 889-0278

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160420000754 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4486952769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010081CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1164685459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 BOSTON POST RD",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162026",
            "telephone_number": "203-889-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KINGS HWY E",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254813",
            "telephone_number": "203-337-6262",
            "fax_number": "203-993-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELVECCHIO",
        "first_name": "RICHARD",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

Verify at the official NPI Registry.