NPIMap

Organization Active NPI

I Smile Dental Studio, P.C.

  • Dental Clinic/Center
  • Enfield, CT
National Provider Identifier
1275838443
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
I SMILE DENTAL STUDIO, P.C.
Practice address
150 Hazard Ave
Enfield, CT 06082-4575
Phone
(860) 749-0791
Fax
(860) 749-2189
NPI assigned
Jan 20, 2011
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Connie Y Gao, DDSNPI 1184788002
Title
Owner
Phone
(860) 749-0791

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

150 Hazard Ave
Enfield, CT 06082-4575

Mailing address

150 Hazard Ave
Enfield, CT 06082-4575
Phone (860) 749-0791

National Provider Directory

National Provider Directory

Locations

150 Hazard Ave
Ste A
Enfield, CT 06082
Phone (860) 749-0212

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1275838443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824575",
            "telephone_number": "860-749-0791",
            "fax_number": "860-749-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824575",
            "telephone_number": "860-749-0791",
            "fax_number": "860-749-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SMILE DENTAL STUDIO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-749-0791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.