Organization Active NPI

New Haven Family Dental Group LLC

Doing business as Horizon Dental Group

  • Dentist
  • New Haven, CT
National Provider Identifier
1447750997
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEW HAVEN FAMILY DENTAL GROUP LLC
Doing business as
Horizon Dental Group
Practice address
214 Grand Ave
New Haven, CT 06513-3721
Phone
(203) 859-5239
Fax
(203) 859-5273
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Mrs. Lakshmi Bethi, DMDNPI 1053669473
Title
Owner
Phone
(203) 859-5239

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 Primary

Addresses

Primary practice location

214 Grand Ave
New Haven, CT 06513-3721

Mailing address

214 Grand Ave
New Haven, CT 06513-3721
Phone (203) 859-5239

Other names 1

  • Horizon Dental Group 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": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1447750997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133721",
            "telephone_number": "203-859-5239",
            "fax_number": "203-859-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065133721",
            "telephone_number": "203-859-5239",
            "fax_number": "203-859-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN FAMILY DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "BETHI",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-859-5239",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Horizon Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.