NPIMap

Organization Active NPI

Sangiacomo and Perrotta, D.M.D., LLC

  • General Practice Dentistry
  • Bethel, CT
National Provider Identifier
1275606840
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007828 Issued in CT
Legal business name
SANGIACOMO AND PERROTTA, D.M.D., LLC
Practice address
27 Grassy Plain St
Bethel, CT 06801-1703
Phone
(203) 743-5600
Fax
(203) 743-2955
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth S Sangiacomo, DMDNPI 1063631679
Title
Partner
Phone
(203) 743-5600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 007828 CT Primary

Addresses

Primary practice location

27 Grassy Plain St
Bethel, CT 06801-1703

Mailing address

27 Grassy Plain St
Bethel, CT 06801-1703
Phone (203) 743-5600

Other identifiers 2

IdentifierTypeStateIssuer
007827OtherCTDENTAL LICENSE
007828OtherCTDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

27 Grassy Plain St
Bethel, CT 06801
Phone (203) 743-5600

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275606840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GRASSY PLAIN ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011703",
            "telephone_number": "203-743-5600",
            "fax_number": "203-743-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GRASSY PLAIN ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011703",
            "telephone_number": "203-743-5600",
            "fax_number": "203-743-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANGIACOMO AND PERROTTA, D.M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANGIACOMO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-743-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "007827",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "007828",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.