Meriden Adult and Children's PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1720372840 Issued in CT

Legal business name

MERIDEN ADULT AND CHILDREN'S PC

Practice address

415 Broad St
Meriden, CT 06450-9999

Phone

(203) 690-9687

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Elba Rivera

Title

Administrative Asst

Phone

(203) 690-9687

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1376953356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "address_2": "MERIDEN ADULT AND CHILDREN PC",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064509999",
            "telephone_number": "203-690-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BROAD ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064509999",
            "telephone_number": "203-690-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDEN ADULT AND CHILDREN'S PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ELBA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASST",
        "authorized_official_telephone_number": "203-690-9687",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "1720372840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720372840",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dora Meiners, RN
• Ashleigh K Melchionno, LCSW
• Amie A Melillo, LCSW
• Melissa Johnson Therapy, LLC
• Samantha Ghartey Mensah, APRN
• Meriden Board of Education
• Meriden Care Center LLC (Silver Springs Care Center)
• Meriden Care Center LLC (Silver Springs Care Center)
• Meriden Chiropractic, LLC (Meriden Chiropractic)
• Meriden Eye Care, LLC

• General Practice Dentistry in Meriden, CT
• Providers in Meriden, 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 Apr 30, 2014; 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.