NPIMap

Organization Active NPI

Danbury Public Schools Preventive Dental

  • Dental Hygienist
  • Danbury, CT
National Provider Identifier
1346605987
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
008197 Issued in CT
Legal business name
DANBURY PUBLIC SCHOOLS PREVENTIVE DENTAL
Practice address
63 Beaver Brook Rd
Danbury, CT 06810-6211
Phone
(203) 790-2812
NPI assigned
Dec 28, 2015
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Kim Doan
Title
Coordinator
Phone
(203) 790-2812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 008197 CT Primary
Dental Hygienist 124Q00000X 002145 CT

Addresses

Primary practice location

63 Beaver Brook Rd
Danbury, CT 06810-6211

Mailing address

63 Beaver Brook Rd
Danbury, CT 06810-6211

National Provider Directory

National Provider Directory
Tax ID family
Danbury Public School3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1346605987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BEAVER BROOK RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BEAVER BROOK RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106211",
            "telephone_number": "203-790-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANBURY PUBLIC SCHOOLS PREVENTIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "203-790-2812"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "008197",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "002145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.