Active NPI
Nami Song, D.D.S
- Dentist
- Danbury, CT
National Provider Identifier
1417101338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 010139
- Practice address
- 432 Main St
Danbury, CT 06810-4730 - Phone
- (646) 266-0168
- NPI assigned
- Nov 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 010139 | CT | Primary |
Addresses
Primary practice location
432 Main St
Danbury, CT 06810-4730
Mailing address
432 Main St
Danbury, CT 06810-4730
Phone (646) 266-0168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108002393 | CT | Order and Referring Only - Dentist | 5890097786 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010139 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1417101338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104730",
"telephone_number": "646-266-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 MAIN ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068104730",
"telephone_number": "646-266-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "NAMI",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "010139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danbury, CT
- Scott Solomans, DDS
- Mindy Rebecca Solomon, LCSW
- Somers Orthopaedic Surgery & Sports Medicine Group PLLC
- Somers Orthopaedic Surgery & Sports Medicine Group PLLC
- Song Dentistry P C
- Jessica Devendra Soni, LPCA
- Prashant Soni, M.D.
- Sonia Soni, MD
- Adauri Jose Soprani, DDS
- Christopher F. Sorenson, L.C.S.W.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.