Individual provider Active NPI

Matthew J Iwinski, D.D.S.

  • General Practice Dentistry
  • New Canaan, CT
National Provider Identifier
1275535387
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08269 Issued in CT
Practice address
45 Pine St
Ste 1a
New Canaan, CT 06840-5409
Phone
(203) 966-5606
Fax
(203) 966-3239
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 08269 CT Primary

Addresses

Primary practice location

45 Pine St
Ste 1a
New Canaan, CT 06840-5409

Mailing address

45 Pine St
Ste 1a
New Canaan, CT 06840-5409
Phone (203) 966-5606

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
I20150321000379 CT Order and Referring Only - DentistPractitioner - Dentist 7911224423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08269CTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275535387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 PINE ST",
            "address_2": "STE 1A",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405409",
            "telephone_number": "203-966-5606",
            "fax_number": "203-966-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PINE ST",
            "address_2": "STE 1A",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405409",
            "telephone_number": "203-966-5606",
            "fax_number": "203-966-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWINSKI",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "08269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.