Active NPI
Beth Ageloff Posner, DMD
- Dentist
- Southport, CT
National Provider Identifier
1326319831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 006970
- Practice address
- 420 Flintlock Rd
Southport, CT 06890-1090 - Phone
- (203) 256-0841
- Fax
- (203) 256-0841
- NPI assigned
- Jan 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 006970 | CT | Primary |
Addresses
Primary practice location
420 Flintlock Rd
Southport, CT 06890-1090
Mailing address
420 Flintlock Rd
Southport, CT 06890-1090
Phone (203) 256-0841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002069707 | Medicaid | CT |
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 |
|---|---|---|---|
| 006970 | CT | MD | Physical Therapist |
| 6970 | CT | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326672000000",
"number": "1326319831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 FLINTLOCK RD",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901090",
"telephone_number": "203-256-0841",
"fax_number": "203-256-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 FLINTLOCK RD",
"city": "SOUTHPORT",
"state": "CT",
"postal_code": "068901090",
"telephone_number": "203-256-0841",
"fax_number": "203-256-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POSNER",
"first_name": "BETH",
"middle_name": "AGELOFF",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-16",
"last_updated": "2012-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "006970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002069707",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southport, CT
- Northeast Breast Reconstruction LLC
- Tracy McGee Osborne, LMFT
- Peggy-Sue Forster, LLC
- Elizabeth Perry, L.C.S.W.
- Joseph Anthony Piliero, DDS
- Pro-Health Chiropractic, P.C.
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Professional Therapy Contracting Services of CT, LLC
- Progressive Care Medical Group of CT, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.