Active NPI
Dream High Dental Anesthesia, LLC
- Dental Anesthesiology
- Bridgeport, CT
National Provider Identifier
1255084422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- Legal business name
- DREAM HIGH DENTAL ANESTHESIA, LLC
- Practice address
- 144 Boston Ave
Bridgeport, CT 06610-1604 - Phone
- (475) 422-8761
- NPI assigned
- Jan 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosy Kim, DDS
- Title
- Dentist Anesthesiologist
- Phone
- (909) 296-2338
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | Primary |
Addresses
Primary practice location
144 Boston Ave
Bridgeport, CT 06610-1604
Mailing address
1979 Hillman St
Tulare, CA 93274-1601
Phone (559) 732-4279
National Provider Directory
National Provider DirectoryLocations
144 Boston Ave
Bridgeport, CT 06610
Phone (203) 437-7561
760 Route 46
#1019
Parsippany, NJ 07054
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Anesthesiology
- Bridgeport, CT
- NPI 1285157487
-
- General Practice Dentistry
- Bridgeport, CT
- NPI 1407647829
-
- General Practice Dentistry
- Bridgeport, CT
- NPI 1346942083
-
- Pediatric Dentistry
- Linden, NJ
- NPI 1467046318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1255084422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1979 HILLMAN ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932741601",
"telephone_number": "559-732-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 BOSTON AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066101604",
"telephone_number": "475-422-8761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM HIGH DENTAL ANESTHESIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-28",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "KIM",
"authorized_official_first_name": "ROSY",
"authorized_official_title_or_position": "DENTIST ANESTHESIOLOGIST",
"authorized_official_telephone_number": "909-296-2338",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.