Northwestern Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTHWESTERN DENTAL

Practice address

101 North Main Street
Winsted, CT 06098

Phone

(860) 379-6807

Fax

(860) 824-9966

NPI assigned

Jan 29, 2018

Last updated

Jan 29, 2018By 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

Heather Poulin

Title

Insurance Coordinator

Phone

(860) 824-5101

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas John Malatesta, DMD

  • General Practice Dentistry
  • Winsted, CT
  • NPI 1346735495
  NPD (past)
• Peter Joseph Scarpelli, DMD

  • Dentist
  • Winsted, CT
  • NPI 1871649426
  NPD (past)

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1407354095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NORTH MAIN STREET",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-379-6807",
            "fax_number": "860-824-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NORTH MAIN STREET",
            "city": "WINSTED",
            "state": "CT",
            "postal_code": "06098",
            "telephone_number": "860-379-6807",
            "fax_number": "860-824-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "860-824-5101"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Mierzwa, PT
• Heather Mogielnicki, OT
• Nicole Morales, OTR/L
• Stephanie Noel Morton, MD
• Myeyedr Optometry of Connecticut, LLC (MyEyeDr.)
• NP Primary Care, LLC
• Dana M Oakes-Sand, MCD
• John F Oliver III, BCBA
• Michelle Oliver, BCBA
• Jessica Orourke

• General Practice Dentistry in Winsted, CT
• Providers in Winsted, 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 Jan 29, 2018; 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.