NPIMap

Organization Active NPI

Dental Center of Westport Group, LLC

  • Dentist
  • Westport, CT
National Provider Identifier
1225463268
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL CENTER OF WESTPORT GROUP, LLC
Practice address
175 Post Rd W
Westport, CT 06880-4643
Phone
(203) 227-8700
NPI assigned
Sep 10, 2013
Last updated
Sep 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Dr. Masha Kogan, DDSNPI 1952642274
Title
Owner
Phone
(203) 227-8700

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

175 Post Rd W
Westport, CT 06880-4643

Mailing address

175 Post Rd W
Westport, CT 06880-4643
Phone (203) 227-8700

National Provider Directory

National Provider Directory

Locations

175 Post Rd W
Westport, CT 06880
Phone (203) 227-8700

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1225463268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804643",
            "telephone_number": "203-227-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804643",
            "telephone_number": "203-227-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER OF WESTPORT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "MASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-227-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.