Active NPI
Kevin M. Barajas DDS, P.C.
- General Practice Dentistry
- Fairfield, CT
National Provider Identifier
1174367759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KEVIN M. BARAJAS DDS, P.C.
- Practice address
- 140 Sherman St. W
#3A
Fairfield, CT 06824 - Phone
- (203) 254-9533
- NPI assigned
- Jun 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Kevin Michael Barajas, DDS
- Title
- Ownder
- Phone
- (619) 495-9444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
140 Sherman St. W
#3A
Fairfield, CT 06824
Mailing address
140 Sherman St. W
#3A
Fairfield, CT 06824
Phone (203) 254-9533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124293196 | Other | CT | GENERAL DENTIST |
National Provider Directory
National Provider DirectoryLocations
140 Sherman St
#W3A
Fairfield, CT 06824
Phone (203) 254-9533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Fairfield, CT
- NPI 1225595432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718755200000",
"number": "1174367759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 SHERMAN ST. W",
"address_2": "#3A",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-254-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 SHERMAN ST. W",
"address_2": "#3A",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "06824",
"telephone_number": "203-254-9533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN M. BARAJAS DDS, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-19",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A",
"authorized_official_last_name": "BARAJAS",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNDER",
"authorized_official_telephone_number": "619-495-9444",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENERAL DENTIST",
"identifier": "1124293196",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.