Organization Active NPI

Norma Gomez DDS and Associates LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Branford, CT
National Provider Identifier
1376836742
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
010722 Issued in CT
Legal business name
NORMA GOMEZ DDS AND ASSOCIATES LLC
Practice address
144 N Main St Ste 8
Branford, CT 06405-3044
Phone
(203) 481-0338
Fax
(203) 481-0339
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Mrs. Lina Velez
Title
Office Manager
Phone
(203) 481-0338

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9256 CT
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 9256 CT
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 010722 CT Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 9256 CT
Dental Clinic/Center 261QD0000X 261QD0000X CT

Addresses

Primary practice location

144 N Main St Ste 8
Branford, CT 06405-3044

Mailing address

144 N Main St Ste 8
Branford, CT 06405-3044
Phone (203) 481-0338

National Provider Directory

National Provider Directory

Locations

144 N Main St
Ste 8
Branford, CT 06405
Phone (203) 481-0338

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1376836742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST STE 8",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053044",
            "telephone_number": "203-481-0338",
            "fax_number": "203-481-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 N MAIN ST STE 8",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053044",
            "telephone_number": "203-481-0338",
            "fax_number": "203-481-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORMA GOMEZ DDS AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-481-0338",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9256",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "9256",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "010722",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "9256",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "261QD0000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.