Organization Active NPI

Song Dentistry P C

  • Dentist
  • Danbury, CT
National Provider Identifier
1386043933
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
010139 Issued in CT
Legal business name
SONG DENTISTRY P C
Practice address
432 Main St
Danbury, CT 06810-4730
Phone
(203) 748-2606
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Dr. Nami Song
Title
Dentist
Phone
(646) 266-0168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 010139 CT Primary

Addresses

Primary practice location

432 Main St
Danbury, CT 06810-4730

Mailing address

432 Main St
Danbury, CT 06810-4730
Phone (203) 748-2606

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1386043933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104730",
            "telephone_number": "203-748-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 MAIN ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104730",
            "telephone_number": "203-748-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONG DENTISTRY P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "NAMI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "646-266-0168",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "010139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

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