NPIMap

Organization Active NPI

Family Dental Group,P.C

  • General Practice Dentistry
  • Waterbury, CT
National Provider Identifier
1174964332
Registry record updated Jul 16, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009899 Issued in CT
Legal business name
FAMILY DENTAL GROUP,P.C
Practice address
171 E Main St
Waterbury, CT 06702-2300
Phone
(203) 754-5400
NPI assigned
Jul 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Dr. Danny R Alcantara, DDS
Title
General Dentist
Phone
(203) 754-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 009899 CT Primary

Addresses

Primary practice location

171 E Main St
Waterbury, CT 06702-2300

Mailing address

171 E Main St
Waterbury, CT 06702-2300
Phone (203) 754-5400

National Provider Directory

National Provider Directory

Locations

171 E Main St
Waterbury, CT 06702
Phone (203) 754-5400

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1174964332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022300",
            "telephone_number": "203-754-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067022300",
            "telephone_number": "203-754-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL GROUP,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "ALCANTARA",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "203-754-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.