Active NPI
Hospital Dental Group DDS PC
- Physical Disabilities Residential Treatment Facility
- Hartford, CT
National Provider Identifier
1417389636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 008890
- Legal business name
- HOSPITAL DENTAL GROUP DDS PC
- Practice address
- 85 Seymour St
Suite 922
Hartford, CT 06106-5501 - Phone
- (860) 524-5194
- Fax
- (860) 349-4571
- NPI assigned
- Jul 31, 2013
- Last updated
- Jul 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anatoliy Ravin, DDS
- Title
- Owner
- Phone
- (860) 524-5194
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | 008890 | CT | Primary |
Addresses
Primary practice location
85 Seymour St
Suite 922
Hartford, CT 06106-5501
Mailing address
85 Seymour St
Suite 922
Hartford, CT 06106-5501
Phone (860) 524-5194
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Burlington, CT
- NPI 1427053701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1417389636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST",
"address_2": "SUITE 922",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065501",
"telephone_number": "860-524-5194",
"fax_number": "860-349-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR ST",
"address_2": "SUITE 922",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061065501",
"telephone_number": "860-524-5194",
"fax_number": "860-349-4571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITAL DENTAL GROUP DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "RAVIN",
"authorized_official_first_name": "ANATOLIY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-524-5194",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "CT",
"license": "008890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.