NPIMap

Organization Active NPI

Oral Care Dental Group II, LLC

Doing business as Smiles of Hartford

  • General Practice Dentistry
  • Hartford, CT
National Provider Identifier
1164719456
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8727 Issued in CT
Legal business name
ORAL CARE DENTAL GROUP II, LLC
Doing business as
Smiles of Hartford
Practice address
330 Main St
Hartford, CT 06106-1860
Phone
(860) 444-9345
NPI assigned
Jul 7, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Ms. Angelina Santa Maria
Title
Business/Finance Manager
Phone
(860) 444-9345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8727 CT Primary

Addresses

Primary practice location

330 Main St
Hartford, CT 06106-1860

Mailing address

330 Main St
Hartford, CT 06106-1860
Phone (860) 444-9345

Other identifiers 2

IdentifierTypeStateIssuer
002087270MedicaidCT
8727OtherCTCONNECTICUT STATE DENTAL LICENSE

Other names 1

  • Smiles of Hartford Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oral Care Dental Group II LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1164719456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061860",
            "telephone_number": "860-444-9345",
            "fax_number": "860-443-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061860",
            "telephone_number": "860-444-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL CARE DENTAL GROUP II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "SANTA MARIA",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_title_or_position": "BUSINESS/FINANCE MANAGER",
        "authorized_official_telephone_number": "860-444-9345",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002087270",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT STATE DENTAL LICENSE",
            "identifier": "8727",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles of Hartford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 23, 2011; 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.