NPIMap

Organization Active NPI

Pines Dental Associates, P.C.

  • General Practice Dentistry
  • Hamden, CT
National Provider Identifier
1164878740
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
006806 Issued in CT
Legal business name
PINES DENTAL ASSOCIATES, P.C.
Practice address
2557 Whitney Ave
Hamden, CT 06518-3021
Phone
(203) 248-7720
Fax
(203) 248-9010
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Bryan H Pines, D.M.D.NPI 1558376343
Title
Dentist/Owner
Phone
(203) 248-7720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 006806 CT Primary

Addresses

Primary practice location

2557 Whitney Ave
Hamden, CT 06518-3021

Mailing address

2557 Whitney Ave
Hamden, CT 06518-3021
Phone (203) 248-7720

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1164878740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183021",
            "telephone_number": "203-248-7720",
            "fax_number": "203-248-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183021",
            "telephone_number": "203-248-7720",
            "fax_number": "203-248-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINES DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "PINES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "203-248-7720",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "006806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.