Organization Active NPI

Hartford Smiles Center PLLC

  • Dentist
  • Hartford, CT
National Provider Identifier
1295372712
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HARTFORD SMILES CENTER PLLC
Practice address
330 Main St
Hartford, CT 06106-1860
Phone
(860) 899-2804
NPI assigned
Dec 3, 2019
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Nishit Modi
Title
Member of PLLC
Phone
(860) 329-6539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

330 Main St
Hartford, CT 06106-1860

Mailing address

685 Queen St Ste 3
Southington, CT 06489-1547
Phone (860) 329-6539

National Provider Directory

National Provider Directory

Locations

330 Main St
Hartford, CT 06106
Phone (860) 752-0211

NPI Registry JSON

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1295372712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 QUEEN ST STE 3",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891547",
            "telephone_number": "860-329-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061860",
            "telephone_number": "860-899-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD SMILES CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "NISHIT",
        "authorized_official_title_or_position": "MEMBER OF PLLC",
        "authorized_official_telephone_number": "860-329-6539"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.