NPIMap

Organization Active NPI

Southington Family Dentistry

  • General Practice Dentistry
  • Plantsville, CT
National Provider Identifier
1396815148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7274 Issued in CT
Legal business name
SOUTHINGTON FAMILY DENTISTRY
Practice address
954 South Main St
Plantsville, CT 06479
Phone
(860) 628-4961
Fax
(860) 628-4803
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph A Picone, DMDNPI 1447524228
Title
Dentist
Phone
(860) 628-4961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7274 CT Primary

Addresses

Primary practice location

954 South Main St
Plantsville, CT 06479

Mailing address

954 South Main St
Plantsville, CT 06479
Phone (860) 628-4961

National Provider Directory

National Provider Directory

Locations

954 S Main St
Plantsville, CT 06479
Phone (860) 628-4761

Practitioners & affiliated clinicians

Practitioners 4

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": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396815148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 SOUTH MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "06479",
            "telephone_number": "860-628-4961",
            "fax_number": "860-628-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 SOUTH MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "06479",
            "telephone_number": "860-628-4961",
            "fax_number": "860-628-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHINGTON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PICONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-628-4961",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantsville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.