Active NPI
CT Braces Stamford Orthodontics PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Stamford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 009802
- 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
- Last updated
- Jul 16, 2015
- 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
- Dr. Shyam Desai, D.M.D
- Title
- Owner/Orthodontist
- Phone
- (203) 374-1911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 009802 | CT | Primary |
Addresses
Primary practice location
456 Glenbrook Rd
Stamford, CT 06906-1800
Mailing address
456 Glenbrook Rd
Stamford, CT 06906-1800
Phone (203) 374-1911
National Provider Directory
National Provider DirectoryLocations
456 Glenbrook Rd
Stamford, CT 06906
Phone (203) 374-1911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Bridgeport, CT
- NPI 1922271550
NPI Registry JSON
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": []
}
Other providers in Stamford, CT
Sources for this page
- 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.