NPIMap

Organization Active NPI

Peoplesdental PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Hartford, CT
National Provider Identifier
1255825600
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PEOPLESDENTAL PC
Practice address
21 N Main St
West Hartford, CT 06107
Phone
(860) 236-1199
NPI assigned
Jun 19, 2018
Organization subpart
Yes
Parent organization
PEOPLESDENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Leah Ann Maylott
Title
Credentialing Administrator
Phone
(860) 874-8198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

21 N Main St
West Hartford, CT 06107

Mailing address

21 N Main St
West Hartford, CT 06107-1939
Phone (860) 874-8198

Other practice location 1

55 Town Line Rd Ste 202
Wethersfield, CT 06109-4317
Phone (860) 529-9555

Other practice location 2

435 Willard Ave Ste A
Newington, CT 06111-2378
Phone (860) 666-2009

Other practice location 3

227 Albany Tpke
Canton, CT 06019-2512
Phone (860) 693-1919

Other names 1

  • Rosenberg Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peoplesdental PC10 organizations share this tax ID, including this one
Part of
Peoplesdental PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

227 Albany Tpke
Canton, CT 06019
Phone (860) 693-1919

435 Willard Ave
Ste A
Newington, CT 06111
Phone (860) 666-2009

55 Town Line Rd
Ste 202
Wethersfield, CT 06109
Phone (860) 529-5280

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1255825600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071939",
            "telephone_number": "860-874-8198",
            "fax_number": "508-986-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "06107",
            "telephone_number": "860-236-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Town Line Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Wethersfield",
            "state": "CT",
            "postal_code": "061094317",
            "country_code": "US",
            "telephone_number": "860-529-9555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Willard Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061112378",
            "country_code": "US",
            "telephone_number": "860-666-2009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Albany Tpke",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "CT",
            "postal_code": "060192512",
            "country_code": "US",
            "telephone_number": "860-693-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEOPLESDENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEOPLESDENTAL PC",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "MAYLOTT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "860-874-8198"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosenberg Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosenberg Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.