Active NPI
Matthew Paul Caceci, DMD
- General Practice Dentistry
- New Milford, CT
National Provider Identifier
1326568353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11837
- Practice address
- 30 Bridge St Ste 303
New Milford, CT 06776-3517 - Phone
- (586) 035-4960
- Fax
- (860) 355-4072
- NPI assigned
- Jun 21, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11837 | CT | Primary |
Addresses
Primary practice location
30 Bridge St Ste 303
New Milford, CT 06776-3517
Mailing address
30 Bridge St Ste 303
New Milford, CT 06776-3517
Phone (860) 354-9600
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 |
|---|---|---|---|
| 11837 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul J & John P Caceci PTRS | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- New Milford, CT
- NPI 1699927343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326568353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BRIDGE ST STE 303",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763517",
"telephone_number": "860-354-9600",
"fax_number": "860-355-4072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BRIDGE ST STE 303",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763517",
"telephone_number": "586-035-4960",
"fax_number": "860-355-4072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACECI",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "11837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.