Individual provider Active NPI

Anthony Vincent Amato, D.M.D.

  • General Practice Dentistry
  • West Hartford, CT
National Provider Identifier
1225109028
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7317 Issued in CT
Practice address
18 N Main St
Second Floor
West Hartford, CT 06107-1970
Phone
(860) 561-3050
Fax
(860) 561-5312
NPI assigned
Nov 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7317 CT Primary

Addresses

Primary practice location

18 N Main St
Second Floor
West Hartford, CT 06107-1970

Mailing address

18 N Main St
Second Floor
West Hartford, CT 06107-1970
Phone (860) 561-3050

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713001388 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072826569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7317CTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225109028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071970",
            "telephone_number": "860-561-3050",
            "fax_number": "860-561-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 N MAIN ST",
            "address_2": "SECOND FLOOR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071970",
            "telephone_number": "860-561-3050",
            "fax_number": "860-561-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMATO",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.