Alireza Namjoo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9555 Issued in CT

Practice address

1761 W Broad St
Stratford, CT 06615-5752

Phone

(203) 375-3763

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376696567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RICHARDS AVE",
            "address_2": "APT. 301",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068541629",
            "telephone_number": "646-325-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W BROAD ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155752",
            "telephone_number": "203-375-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMJOO",
        "first_name": "ALIREZA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Chase Murtha, MSN, APRN
• Anthony Musto, MD
• Kathleen Myers, LICSW
• Heather Nadeau, MOT, OTR/L
• Sanath Nallainathan, MD
• Kiranpreet Narain
• National Vision Inc
• Natural Health & Wellness Center LLC
• Nature Source Care
• Jennifer Naughton, LCSW

• General Practice Dentistry in Stratford, CT
• Providers in Stratford, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.