Active NPI
Driesman Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Westport, CT
National Provider Identifier
1336699396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 010875
- Legal business name
- DRIESMAN ORTHODONTICS
- Practice address
- 24 Imperial Ave
Westport, CT 06880-4301 - Phone
- (203) 227-6061
- NPI assigned
- Oct 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Casarella
- Title
- Consultant
- Phone
- (860) 276-1586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 010875 | CT | Primary |
Addresses
Primary practice location
24 Imperial Ave
Westport, CT 06880-4301
Mailing address
24 Imperial Ave
Westport, CT 06880-4301
Phone (203) 227-6061
National Provider Directory
National Provider DirectoryLocations
24 Imperial Ave
Westport, CT 06880
Phone (203) 227-6061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Westport, CT
- NPI 1881084002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1476316800000",
"number": "1336699396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 IMPERIAL AVE",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804301",
"telephone_number": "203-227-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 IMPERIAL AVE",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804301",
"telephone_number": "203-227-6061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRIESMAN ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A",
"authorized_official_last_name": "CASARELLA",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "860-276-1586"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CT",
"license": "010875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.