Active NPI
Michelle Grosso Neves, D.D.S
- Pediatric Dentistry
- Fairfield, CT
National Provider Identifier
1316230493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 010882
- Practice address
- 1478 Post Rd
Fairfield, CT 06824-5938 - Phone
- (203) 255-6851
- NPI assigned
- May 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 010882 | CT | Primary |
Addresses
Primary practice location
1478 Post Rd
Fairfield, CT 06824-5938
Mailing address
1478 Post Rd
Fairfield, CT 06824-5938
Phone (203) 255-6851
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010882 | CT | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1316230493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1478 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245938",
"telephone_number": "203-255-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1478 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245938",
"telephone_number": "203-255-6851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEVES",
"first_name": "MICHELLE",
"middle_name": "GROSSO",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-23",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "010882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.