NPIMap

Organization Active NPI

Family Dentistry of Stamford PC

  • Dentist
  • Stamford, CT
National Provider Identifier
1366872137
Registry record updated Nov 15, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
010091 Issued in CT
Legal business name
FAMILY DENTISTRY OF STAMFORD PC
Practice address
1 Strawberry Hill CT
Ste L6
Stamford, CT 06902-2548
Phone
(203) 883-8330
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Mark Agababaev, DDS
Title
President
Phone
(718) 887-1397

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 010091 CT Primary

Addresses

Primary practice location

1 Strawberry Hill CT
Ste L6
Stamford, CT 06902-2548

Mailing address

1 Strawberry Hill CT
Ste L6
Stamford, CT 06902-2548
Phone (203) 883-8330

National Provider Directory

National Provider Directory

Locations

1 Strawberry Hill Ct
Ste L6
Stamford, CT 06902
Phone (203) 883-8330

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1366872137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STRAWBERRY HILL CT",
            "address_2": "STE L6",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022548",
            "telephone_number": "203-883-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STRAWBERRY HILL CT",
            "address_2": "STE L6",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022548",
            "telephone_number": "203-883-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY OF STAMFORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "AGABABAEV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-887-1397",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "010091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.