Organization Active NPI

Marshall S. Greenberg, D.M.D., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ansonia, CT
National Provider Identifier
1194997452
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3900 Issued in CT
Legal business name
MARSHALL S. GREENBERG, D.M.D., P.C.
Practice address
201 Division St
Ansonia, CT 06401-1138
Phone
(203) 735-9600
Fax
(203) 954-0014
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Marshall S. Greenberg, D.M.D.NPI 1467665463
Title
Owner/President
Phone
(203) 735-9600

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3900 CT Primary

Addresses

Primary practice location

201 Division St
Ansonia, CT 06401-1138

Mailing address

201 Division St
Ansonia, CT 06401-1138
Phone (203) 735-9600

Other identifiers 1

IdentifierTypeStateIssuer
2039006MedicaidCT

National Provider Directory

National Provider Directory

Locations

201 Division St
Ansonia, CT 06401
Phone (203) 735-9600

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.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1194997452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DIVISION ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011138",
            "telephone_number": "203-735-9600",
            "fax_number": "203-954-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DIVISION ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011138",
            "telephone_number": "203-735-9600",
            "fax_number": "203-954-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL S. GREENBERG, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "203-735-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "3900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039006",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.