Paula Cerqueira, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9329 Issued in CT

Practice address

4702 Main St
Bridgeport, CT 06606-1831

Phone

(203) 371-8282

NPI assigned

Mar 16, 2006

Last updated

Mar 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Commerce Park Dental Group LLC

  dba Commerce Park Children's Dentistry and Orthodontics

  • Pediatric Dentistry
  • Bridgeport, CT
  • NPI 1437234523
  NPD (past)

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1427027911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061831",
            "telephone_number": "203-371-8282",
            "fax_number": "203-365-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061831",
            "telephone_number": "203-371-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERQUEIRA",
        "first_name": "PAULA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "9329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236354",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Anne Genoguin Celecios, RN
• Celeste Home Care LLC
• Kutay Celik
• Center for Community Empowerment Inc.
• Centro Quiropractico Hispano
• Karen Ann Cerrato, LCSW
• Brittany Lee Cerreta, MFT
• Lauren-Alexa Cesar, LMSW
• Susana Cezario Mello, LPC
• Charles Cha, M.D.

• Pediatric Dentistry in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.