Organization Active NPI

Elite Family Dentistry

  • General Practice Dentistry
  • Newington, CT
National Provider Identifier
1457739765
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ELITE FAMILY DENTISTRY
Practice address
3579B Berlin Tpke
Newington, CT 06111-5136
Phone
(860) 266-4766
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Dr. Ranjitha Mukund, DMD
Title
Owner
Phone
(347) 205-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3579B Berlin Tpke
Newington, CT 06111-5136

Mailing address

3579B Berlin Tpke
Newington, CT 06111-5136
Phone (860) 266-4766

Other names 1

  • Green Meadow Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3579B Berlin Tpke
Newington, CT 06111
Phone (860) 266-4766

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1457739765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579B BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115136",
            "telephone_number": "860-266-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579B BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061115136",
            "telephone_number": "860-266-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "MUKUND",
        "authorized_official_first_name": "RANJITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-205-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Meadow Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.