CT Braces Stamford Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

009802 Issued in CT

Legal business name

CT BRACES STAMFORD ORTHODONTICS PC

Practice address

456 Glenbrook Rd
Stamford, CT 06906-1800

Phone

(203) 374-1911

Fax

(203) 683-0524

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shyam Desai, D.M.D

Title

Owner/Orthodontist

Phone

(203) 374-1911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1174907331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061800",
            "telephone_number": "203-374-1911",
            "fax_number": "203-683-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069061800",
            "telephone_number": "203-374-1911",
            "fax_number": "203-683-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT BRACES STAMFORD ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "203-374-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "009802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen B Crist, M.D.
• Piera Cronin, LPC
• W Michael Crouch, LCSW
• Denise Cruz
• Luz Cruz, LCSW
• CT Braces, LLC
• CT Preventive Health Edge Medical PC
• Cte, Inc
• Susan Cucchiara, ND
• Carla Cuccia, P.T.

• Orthodontics and Dentofacial Orthopedics Dentistry in Stamford, CT
• Providers in Stamford, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.