Individual provider Active NPI

Dikshant Kathuria, DDS

  • General Practice Dentistry
  • East Hampton, CT
National Provider Identifier
1255727376
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11573 Issued in CT
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 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

LicenseStateTypeSpecialty
11573CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Chataham Dental Care LLC General Practice PastSince Nov 10, 2019 Accepting new patients
Chatham Dental Center LLC General Practice PastSince Nov 10, 2019 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": "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.

Verify at the official NPI Registry.