NPIMap

Organization Active NPI

New England Endodontics PC

Doing business as Connecticut Endodontic Associates

  • Endodontics
  • Manchester, CT
National Provider Identifier
1407572605
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
NEW ENGLAND ENDODONTICS PC
Doing business as
Connecticut Endodontic Associates
Practice address
360 Tolland Tpke Ste 2a
Manchester, CT 06042-1770
Phone
(860) 646-4811
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NEW ENGLAND ENDODONTICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Leah Ann Maylott
Title
Credentialing Administrator
Phone
(860) 874-8198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary
Periodontics 1223P0300X NU

Addresses

Primary practice location

360 Tolland Tpke Ste 2a
Manchester, CT 06042-1770

Mailing address

66 Dwight Rd Ste 4
Longmeadow, MA 01106-1949
Phone (413) 565-2733

Other names 1

  • Connecticut Endodontic Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New England Endodontics PC3 organizations share this tax ID, including this one
Part of
New England Endodontics PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1407572605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 DWIGHT RD STE 4",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061949",
            "telephone_number": "413-565-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 TOLLAND TPKE STE 2A",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421770",
            "telephone_number": "860-646-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND ENDODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW ENGLAND ENDODONTICS PC",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "MAYLOTT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "860-874-8198"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Endodontic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.