NPIMap

Organization Active NPI

Center for Oral & Implant Surgery, P.C

  • Oral and Maxillofacial Surgery (Dentist)
  • Shelton, CT
National Provider Identifier
1457542664
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
008660 Issued in CT
Legal business name
CENTER FOR ORAL & IMPLANT SURGERY, P.C
Practice address
2 Trap Falls Rd
Suite 103
Shelton, CT 06484-4616
Phone
(203) 925-8700
Fax
(203) 925-8770
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Michael J Safian
Title
Owner
Phone
(203) 925-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 008660 CT Primary

Addresses

Primary practice location

2 Trap Falls Rd
Suite 103
Shelton, CT 06484-4616

Mailing address

2 Trap Falls Rd
Suite 103
Shelton, CT 06484-4616
Phone (203) 925-8700

National Provider Directory

National Provider Directory

Locations

2 Trap Falls Rd
Ste 103
Shelton, CT 06484
Phone (203) 925-8700

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1457542664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD",
            "address_2": "SUITE 103",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-925-8700",
            "fax_number": "203-925-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD",
            "address_2": "SUITE 103",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844616",
            "telephone_number": "203-925-8700",
            "fax_number": "203-925-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORAL & IMPLANT SURGERY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SAFIAN",
        "authorized_official_first_name": "MICHAEL  J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-925-8700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "008660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; 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.