NPIMap

Organization Active NPI

Comprehensive Aesthetic Dentistry PC

  • Dentist
  • West Hartford, CT
National Provider Identifier
1447646757
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5869 Issued in CT
Legal business name
COMPREHENSIVE AESTHETIC DENTISTRY PC
Practice address
901 Farmington Ave
Suite 201
West Hartford, CT 06119-1418
Phone
(860) 232-4511
Fax
(860) 236-0482
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Dr. Robin Mark Santiago, D.M.D.NPI 1275500985
Title
President
Phone
(860) 232-4511

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5869 CT Primary

Addresses

Primary practice location

901 Farmington Ave
Suite 201
West Hartford, CT 06119-1418

Mailing address

901 Farmington Ave
Suite 201
West Hartford, CT 06119-1418
Phone (860) 232-4511

Other names 1

  • Beautiful Smiles by Robin Santiago DMD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1447646757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE",
            "address_2": "SUITE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191418",
            "telephone_number": "860-232-4511",
            "fax_number": "860-236-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE",
            "address_2": "SUITE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191418",
            "telephone_number": "860-232-4511",
            "fax_number": "860-236-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE AESTHETIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-232-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "5869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Smiles by Robin Santiago DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.