NPIMap

Organization Active NPI

Myorthos Connecticut Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Newtown, CT
National Provider Identifier
1417628397
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MYORTHOS CONNECTICUT ORTHODONTICS, P.C.
Practice address
23 Church Hill Rd
Newtown, CT 06470-1612
Phone
(203) 426-5900
NPI assigned
Sep 21, 2021
Organization subpart
Yes
Parent organization
MYORTHOS CONNECTICUT ORTHODONTICS, P.C.As reported in NPPES

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Myorthos Connecticut Orthodontics PC5 organizations share this tax ID, including this one
Part of
Myorthos Connecticut Orthodontics PC

Other organizations with this tax ID 4

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

Locations

241 Monroe Tpke
Monroe, CT 06468
Phone (203) 261-0650

23 Church Hill Rd
Newtown, CT 06470
Phone (203) 426-5900

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Authorized official

Name
Casey Lonabocker
Title
VP Operations & Strategy
Phone
(617) 535-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

23 Church Hill Rd
Newtown, CT 06470-1612

Mailing address

131 Dartmouth St FL 3
Boston, MA 02116-5297
Phone (617) 535-3305

Other practice location 1

241 Monroe Tpke
Monroe, CT 06468-2248
Phone (203) 769-9035

Other names 1

  • Baum Braces Other name

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1417628397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARTMOUTH ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165297",
            "telephone_number": "617-535-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CHURCH HILL RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701612",
            "telephone_number": "203-426-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Monroe Tpke",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "CT",
            "postal_code": "064682248",
            "country_code": "US",
            "telephone_number": "203-769-9035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MYORTHOS CONNECTICUT ORTHODONTICS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYORTHOS CONNECTICUT ORTHODONTICS, P.C.",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baum Braces",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.