NPIMap

Organization Active NPI

Dental Permanente of Stamford

  • General Practice Dentistry
  • Stamford, CT
National Provider Identifier
1194100982
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009611 Issued in CT
Legal business name
DENTAL PERMANENTE OF STAMFORD
Practice address
868 E Main St
Stamford, CT 06902-3926
Phone
(203) 324-3245
NPI assigned
Jul 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Dr. Yingjie WuNPI 1881821569
Title
Owner
Phone
(203) 324-3245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 009611 CT Primary

Addresses

Primary practice location

868 E Main St
Stamford, CT 06902-3926

Mailing address

868 E Main St
Stamford, CT 06902-3926
Phone (203) 324-3245

National Provider Directory

National Provider Directory

Locations

868 E Main St
Stamford, CT 06902
Phone (203) 324-3245

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1194100982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023926",
            "telephone_number": "203-324-3245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 E MAIN ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023926",
            "telephone_number": "203-324-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PERMANENTE OF STAMFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "YINGJIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-324-3245",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009611",
            "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 Aug 20, 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.