Individual provider Active NPI

Brian Dasilva, DMD

  • General Practice Dentistry
  • East Windsor, CT
National Provider Identifier
1295148302
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11416 Issued in CT
Practice address
148 North Rd
East Windsor, CT 06088-9502
Phone
(860) 627-5232
NPI assigned
Jun 5, 2014
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11416 CT Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

148 North Rd
East Windsor, CT 06088-9502

Mailing address

148 North Rd
East Windsor, CT 06088-9502
Phone (860) 627-5232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160324001039 CT Order and Referring Only - DentistPractitioner - Dentist 2860799517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11416CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dasilva Dental LLC General Practice Current Accepting new patients
Melvin I. Spielberg,M.D. P.C. PastSince Aug 7, 1997 Accepting new patients

Locations

148 North Rd
East Windsor, CT 06088
Phone (860) 627-5232

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1295148302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 NORTH RD",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889502",
            "telephone_number": "860-627-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 NORTH RD",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889502",
            "telephone_number": "860-627-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASILVA",
        "first_name": "BRIAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11416",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, CT

Sources for this page

Verify at the official NPI Registry.