NPIMap

Organization Active NPI

Kennedy Family Dental

  • General Practice Dentistry
  • Torrington, CT
National Provider Identifier
1255632667
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010154 Issued in CT
Legal business name
KENNEDY FAMILY DENTAL
Practice address
333 Kennedy Dr
Suite-L-102
Torrington, CT 06790-3060
Phone
(860) 496-1200
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Ridhima Goyal, DMDNPI 1487884011
Title
Owner
Phone
(860) 496-1200

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 010154 CT Primary

Addresses

Primary practice location

333 Kennedy Dr
Suite-L-102
Torrington, CT 06790-3060

Mailing address

333 Kennedy Dr
Suite-L-102
Torrington, CT 06790-3060
Phone (860) 496-1200

National Provider Directory

National Provider Directory

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1255632667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR",
            "address_2": "SUITE-L-102",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903060",
            "telephone_number": "860-496-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR",
            "address_2": "SUITE-L-102",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903060",
            "telephone_number": "860-496-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEDY FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "RIDHIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-496-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.