Individual provider Active NPI

Kristen Diane Falanga, DMD

  • Dentist
  • New Britain, CT
National Provider Identifier
1376776229
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10384 Issued in CT
Practice address
105 Myrtle St
New Britain, CT 06051-1859
Phone
(860) 356-0057
NPI assigned
Aug 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037872 PA
Dentist 122300000X 10384 CT Primary

Addresses

Primary practice location

105 Myrtle St
New Britain, CT 06051-1859

Mailing address

46 Brittany Farms Rd
Apt #130
New Britain, CT 06053-1265
Phone (570) 350-3280

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
DS037872PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1376776229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BRITTANY FARMS RD",
            "address_2": "APT #130",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531265",
            "telephone_number": "570-350-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MYRTLE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511859",
            "telephone_number": "860-356-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALANGA",
        "first_name": "KRISTEN",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-26",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037872",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "10384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.