Richard V Niego, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4420 Issued in CT

Practice address

211 New Britain Rd
Suite 205
Kensington, CT 06037-1360

Phone

(860) 224-7146

Fax

(860) 827-4632

NPI assigned

Jul 5, 2006

Last updated

Jan 5, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1386675759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NEW BRITAIN RD",
            "address_2": "SUITE 205",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371360",
            "telephone_number": "860-224-7146",
            "fax_number": "860-827-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NEW BRITAIN RD",
            "address_2": "SUITE 205",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371360",
            "telephone_number": "860-224-7146",
            "fax_number": "860-827-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEGO",
        "first_name": "RICHARD",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "4420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "060915415",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDICAL",
            "identifier": "020004420CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Leah Martin, LCSW
• Jacqueline C Martin, APRN
• Samantha C Matus, DMD
• Claudio Negrao II, PHD
• Sydney M Neubieser, DC
• Paul George Ohanesian, MFT
• James William Osborne, LPC
• Shannon Marie Ostroski
• Cynthia Lynn Ouellette
• Bozena Maria Padykula, APRN

• Oral and Maxillofacial Surgery (Dentist) in Kensington, CT
• Providers in Kensington, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.