Organization Active NPI

All Kids Dental LLC

  • Dental Clinic/Center
  • Bridgeport, CT
National Provider Identifier
1295126209
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
008345 Issued in CT
Legal business name
ALL KIDS DENTAL LLC
Practice address
2566 Main St
Bridgeport, CT 06606-5302
Phone
(203) 222-1444
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Dr. Efren Cortes, DDSNPI 1104900521
Title
President
Phone
(203) 222-1444

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 008345 CT Primary

Addresses

Primary practice location

2566 Main St
Bridgeport, CT 06606-5302

Mailing address

29 Imperial Ave
Westport, CT 06880-4303
Phone (203) 222-1444

National Provider Directory

National Provider Directory

Locations

29 Imperial Ave
Westport, CT 06880

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": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1295126209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 IMPERIAL AVE",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804303",
            "telephone_number": "203-222-1444",
            "fax_number": "203-222-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065302",
            "telephone_number": "203-222-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL KIDS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "EFREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-222-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "008345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.