Organization Active NPI

Farmington Family Dentistry, LLC

  • General Practice Dentistry
  • Farmington, CT
National Provider Identifier
1245682830
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007405 Issued in CT
Legal business name
FARMINGTON FAMILY DENTISTRY, LLC
Practice address
5 Melrose Dr
Farmington, CT 06032-2251
Phone
(860) 677-1316
Fax
(860) 677-4537
NPI assigned
Jul 7, 2016
Last updated
Jul 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Dr. Kathryn Wilhelms, DMDNPI 1396863981
Title
Owner
Phone
(860) 677-1316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 007405 CT Primary

Addresses

Primary practice location

5 Melrose Dr
Farmington, CT 06032-2251

Mailing address

5 Melrose Dr
Farmington, CT 06032-2251
Phone (860) 677-1316

National Provider Directory

National Provider Directory

Locations

5 Melrose Dr
Farmington, CT 06032
Phone (860) 676-1234

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": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1245682830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MELROSE DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322251",
            "telephone_number": "860-677-1316",
            "fax_number": "860-677-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MELROSE DR",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322251",
            "telephone_number": "860-677-1316",
            "fax_number": "860-677-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "WILHELMS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-677-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.