Dental Group of Hartford PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTAL GROUP OF HARTFORD PC

Practice address

18 Madison St
Hartford, CT 06106-2324

Phone

(860) 206-1934

Fax

(860) 206-0192

NPI assigned

Aug 31, 2010

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roxanne Tamayo-Bordies, DDS

Title

Owner

Phone

(860) 548-6350

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1396051165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MADISON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062324",
            "telephone_number": "860-206-1394",
            "fax_number": "860-206-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MADISON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062324",
            "telephone_number": "860-206-1934",
            "fax_number": "860-206-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GROUP OF HARTFORD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "TAMAYO-BORDIES",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-548-6350",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Laura Dempsey, LPN
• Tara J Dempsey, PA-C
• Phillip Dennen, MD
• Cassidy A Dennin, PA-C
• Dental Dreams, LLC
• Dental Smiles of Hartford, PLLC
• Dental Team of Hartford LLC
• Kara Denz Fluck, PA-C
• Maneet Deol
• Dylan Depersia, PA

• Dentist in Hartford, CT
• Providers in Hartford, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.