NPIMap

Organization Active NPI

Patrick Dermesropian PC

  • General Practice Dentistry
  • Manchester, CT
National Provider Identifier
1184925257
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9958 Issued in CT
Legal business name
PATRICK DERMESROPIAN PC
Practice address
179 Deming St Ste a
Manchester, CT 06042-7131
Phone
(860) 644-6500
NPI assigned
Nov 5, 2010
Last updated
Nov 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Patrick Dermesropian
Title
DDS
Phone
(860) 644-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9958 CT Primary

Addresses

Primary practice location

179 Deming St Ste a
Manchester, CT 06042-7131

Mailing address

PO Box 3189
Syracuse, NY 13220-3189

National Provider Directory

National Provider Directory

Locations

179 Deming St
Ste A
Manchester, CT 06042
Phone (860) 644-6500

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1184925257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132203189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 DEMING ST STE A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060427131",
            "telephone_number": "860-644-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK DERMESROPIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "DERMESROPIAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "860-644-6500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.