Active NPI
Dikshant Kathuria, DDS
- General Practice Dentistry
- East Hampton, CT
National Provider Identifier
1255727376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11573
- Practice address
- 33 W High St
East Hampton, CT 06424 - Phone
- (734) 680-5766
- Fax
- (860) 267-7742
- NPI assigned
- Apr 15, 2015
- Last updated
- Nov 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11573 | CT | Primary |
Addresses
Primary practice location
33 W High St
East Hampton, CT 06424
Mailing address
17 Pasture LN
South Glastonbury, CT 06073-2323
Phone (734) 680-5766
Other practice location 1
33 W High St
East Hampton, CT 06424
Phone (734) 680-5766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11573 | CT | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chataham Dental Care LLC | General Practice | Past | Accepting new patients |
| Chatham Dental Center LLC | General Practice | Past | 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.
-
- General Practice Dentistry
- East Hampton, CT
- NPI 1962964171
-
- General Practice Dentistry
- East Hampton, CT
- NPI 1104079789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1255727376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 PASTURE LN",
"city": "SOUTH GLASTONBURY",
"state": "CT",
"postal_code": "060732323",
"telephone_number": "734-680-5766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W HIGH ST",
"city": "EAST HAMPTON",
"state": "CT",
"postal_code": "06424",
"telephone_number": "734-680-5766",
"fax_number": "860-267-7742"
}
],
"practiceLocations": [
{
"address_1": "33 W High St",
"address_purpose": "LOCATION",
"city": "East Hampton",
"state": "CT",
"postal_code": "06424",
"country_code": "US",
"telephone_number": "734-680-5766",
"fax_number": "860-267-7742",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATHURIA",
"first_name": "DIKSHANT",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-15",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "11573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Hampton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.