NPIMap

Organization Active NPI

Connectikidz Dental Care P.C.

Doing business as ConnectiKIDZ Pediatric Dentistry

  • Pediatric Dentistry
  • Derby, CT
National Provider Identifier
1275909400
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11125 Issued in CT
Legal business name
CONNECTIKIDZ DENTAL CARE P.C.
Doing business as
ConnectiKIDZ Pediatric Dentistry
Practice address
36 Division St
Derby, CT 06418-1447
Phone
(551) 206-9205
NPI assigned
Aug 11, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. Julia Bonks, DDSNPI 1780835637
Title
Pediatric Dentist
Phone
(551) 206-9205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11125 CT Primary

Addresses

Primary practice location

36 Division St
Derby, CT 06418-1447

Mailing address

36 Division St
Derby, CT 06418-1447
Phone (551) 206-9205

Other names 1

  • ConnectiKIDZ Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1275909400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181447",
            "telephone_number": "551-206-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181447",
            "telephone_number": "551-206-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTIKIDZ DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "BONKS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "551-206-9205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "11125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ConnectiKIDZ Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Derby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.