Individual provider Active NPI

Stephen Nicholas Cagliostro, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westport, CT
National Provider Identifier
1346677614
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
11579 Issued in CT
Practice address
1460 Post Rd E
#9
Westport, CT 06880-5500
Phone
(203) 853-0808
NPI assigned
Oct 2, 2013
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 11579 CT Primary

Addresses

Primary practice location

1460 Post Rd E
#9
Westport, CT 06880-5500

Mailing address

435 W 119TH St
Apt 9B
New York, NY 10027-7110
Phone (914) 539-0445

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rockwall Orthodontics Inc Orthodontics and Dentofacial Orthopedics Current Accepting new patients

Locations

1460 Post Rd E
Ste 9
Westport, CT 06880
Phone (203) 853-0808

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.

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1346677614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W 119TH ST",
            "address_2": "APT 9B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277110",
            "telephone_number": "914-539-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 POST RD E",
            "address_2": "#9",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805500",
            "telephone_number": "203-853-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGLIOSTRO",
        "first_name": "STEPHEN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "11579",
            "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 Jun 2, 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.

Verify at the official NPI Registry.