Individual provider Active NPI

Rebecca D'Andrea, DDS

  • Dentist
  • Wilton, CT
National Provider Identifier
1285093971
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9815 Issued in CT
Practice address
44 Old Ridgefield Rd Ste 212
Wilton, CT 06897-3014
Phone
(203) 761-0223
Fax
(203) 834-2249
NPI assigned
Feb 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9815 CT Primary

Addresses

Primary practice location

44 Old Ridgefield Rd Ste 212
Wilton, CT 06897-3014

Mailing address

44 Old Ridgefield Rd Ste 212
Wilton, CT 06897-3014
Phone (203) 761-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
D'Andrea Dental P.C. CurrentSince Feb 21, 2021 Accepting new patients
A Vandiveer Strait Jr PastSince Feb 21, 2021 Accepting new patients

Locations

44 Old Ridgefield Rd
Ste 212
Wilton, CT 06897
Phone (203) 761-0223

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1285093971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 OLD RIDGEFIELD RD STE 212",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973014",
            "telephone_number": "203-761-0223",
            "fax_number": "203-955-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OLD RIDGEFIELD RD STE 212",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973014",
            "telephone_number": "203-761-0223",
            "fax_number": "203-834-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ANDREA",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.