Active NPI
Trisha Maloney, DMD
- Pediatric Dentistry
- Hartford, CT
National Provider Identifier
1447776513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 12263
- Practice address
- 272 Franklin Ave
Hartford, CT 06114 - Phone
- (860) 296-5437
- NPI assigned
- Aug 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16323 | MD | |
| Pediatric Dentistry | 1223P0221X | DN1858065 | MA | |
| Pediatric Dentistry | 1223P0221X | 12263 | CT | Primary |
Addresses
Primary practice location
272 Franklin Ave
Hartford, CT 06114
Mailing address
25 Timberline Dr
Farmington, CT 06032-1745
Phone (954) 554-0954
Other practice location 1
600 W St NW
Washington, DC 20059-1022
Phone (954) 554-0954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12263 | CT | MD | Pediatric Dentist |
| DN1858065 | MA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534377600000",
"number": "1447776513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 TIMBERLINE DR",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321745",
"telephone_number": "954-554-0954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 FRANKLIN AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06114",
"telephone_number": "860-296-5437"
}
],
"practiceLocations": [
{
"address_1": "600 W St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200591022",
"country_code": "US",
"telephone_number": "954-554-0954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONEY",
"first_name": "TRISHA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-20",
"last_updated": "2018-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "16323",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MA",
"license": "DN1858065",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "12263",
"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 Aug 16, 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.