Individual provider Active NPI

Jameel Besheer Dhanani, DMD

  • Dentist
  • North Haven, CT
National Provider Identifier
1265543441
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8267 Issued in CT
Practice address
6 George St
North Haven, CT 06473-1822
Phone
(203) 239-4289
NPI assigned
Aug 31, 2006
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8267 CT Primary

Addresses

Primary practice location

6 George St
North Haven, CT 06473-1822

Mailing address

316 Audubon CT
New Haven, CT 06510-1203
Phone (203) 777-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724011637 CT Order and Referring Only - DentistPractitioner - Dentist 0840503488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8267CTMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1265543441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 AUDUBON CT",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101203",
            "telephone_number": "203-777-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GEORGE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064731822",
            "telephone_number": "203-239-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANANI",
        "first_name": "JAMEEL",
        "middle_name": "BESHEER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "8267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

Verify at the official NPI Registry.