Individual provider Active NPI

Cindy Munguia Chagas, DMD

  • General Practice Dentistry
  • Cos Cob, CT
National Provider Identifier
1366907420
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12832 Issued in CT
Practice address
40 E Putnam Ave
Cos Cob, CT 06807-2600
Phone
(203) 661-2279
NPI assigned
Feb 4, 2019
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12832 CT Primary
General Practice Dentistry 1223G0001X 061245 NY

Addresses

Primary practice location

40 E Putnam Ave
Cos Cob, CT 06807-2600

Mailing address

7 Hanford Ave Apt 1
New Rochelle, NY 10805-2418

Other practice location 1

230 Park Ave
New York, NY 10169-0005
Phone (212) 682-5180

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

LicenseStateTypeSpecialty
061245NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1366907420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HANFORD AVE APT 1",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108052418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E PUTNAM AVE",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072600",
            "telephone_number": "203-661-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101690005",
            "country_code": "US",
            "telephone_number": "212-682-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAGAS",
        "first_name": "CINDY",
        "middle_name": "MUNGUIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12832",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.