Active NPI
Stephen W Colite, D.M.D.
- General Practice Dentistry
- Southington, CT
National Provider Identifier
1184765547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9655
- Practice address
- 33 Meriden Avenue
Southington, CT 06489 - Phone
- (860) 621-5040
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9655 | CT | Primary |
Addresses
Primary practice location
33 Meriden Avenue
Southington, CT 06489
Mailing address
33 Meriden Avenue
Southington, CT 06489
Phone (860) 621-5040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150619000332 | CT | Order and Referring Only - Oral Surgery | 4082925920 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9655 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southington Behavioral Health Center for Children and Families, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Southington, CT
- NPI 1518914746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184765547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 MERIDEN AVENUE",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "06489",
"telephone_number": "860-621-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 MERIDEN AVENUE",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "06489",
"telephone_number": "860-621-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLITE",
"first_name": "STEPHEN",
"middle_name": "W",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "9655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southington, CT
- Clufoir Inc
- Robert Codio, MT-BC
- Elliott Ralph Colasanto, RPH
- Michael Colella, CRNA
- Mark A Colite, DMD
- Melanie Collin, APRN
- Comprehensive Orthopedics & Musculoskeletal Care LLC
- Comprehensive Orthopedics & Musculoskeletal Care LLC
- Connecticut CVS Pharmacy LLC (CVS Pharmacy #17491)
- Connecticut CVS Pharmacy LLC (CVS Pharmacy #01060)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.