Organization Active NPI

Sparkling Smiles PLLC

  • Dentist
  • Vernon, CT
National Provider Identifier
1376187872
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SPARKLING SMILES PLLC
Practice address
148 Talcottville Rd
Vernon, CT 06066-4705
Phone
(860) 926-4789
NPI assigned
Oct 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Authorized official

Name
Nishit Modi
Title
Owner
Phone
(860) 329-6539

Specialties & licenses 1

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

Addresses

Primary practice location

148 Talcottville Rd
Vernon, CT 06066-4705

Mailing address

685 Queen St Unit 3
Southington, CT 06489-1547
Phone (860) 863-5831

National Provider Directory

National Provider Directory

Locations

685 Queen St
Unit 3
Southington, CT 06489
Phone (617) 306-0017

148 Talcottville Rd
Vernon, CT 06066
Phone (860) 926-4789

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1376187872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 QUEEN ST UNIT 3",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891547",
            "telephone_number": "860-863-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664705",
            "telephone_number": "860-926-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLING SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "MODI",
        "authorized_official_first_name": "NISHIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-329-6539"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.