Individual provider Active NPI

Kenneth R Finn, DMD

  • General Practice Dentistry
  • West Simsbury, CT
National Provider Identifier
1245374305
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5957 Issued in CT
Practice address
240 Farms Village Rd
West Simsbury, CT 06092-0266
Phone
(860) 651-3542
Fax
(860) 651-9958
NPI assigned
Feb 20, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 5957 CT Primary

Addresses

Primary practice location

240 Farms Village Rd
West Simsbury, CT 06092-0266

Mailing address

PO Box 266
240 Farms Village Rd
West Simsbury, CT 06092-0266
Phone (860) 651-3542

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
I20190627000970 CT Order and Referring Only - DentistPractitioner - Dentist 8123330198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5957CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth R Finn DMD LLC PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245374305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "address_2": "240 FARMS VILLAGE RD",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060920266",
            "telephone_number": "860-651-3542",
            "fax_number": "860-651-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 FARMS VILLAGE RD",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060920266",
            "telephone_number": "860-651-3542",
            "fax_number": "860-651-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINN",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Simsbury, CT

Sources for this page

Verify at the official NPI Registry.