Active NPI
Haissam Ramadan, D.M.D.
- Dentist
- Danbury, CT
National Provider Identifier
1467723734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 105555
- Practice address
- 57 North St Ste 318
Danbury, CT 06810-5628 - Phone
- (203) 826-9299
- NPI assigned
- Jan 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105555 | CT | Primary |
Addresses
Primary practice location
57 North St Ste 318
Danbury, CT 06810-5628
Mailing address
175 Canton St
Apt B15
West Haven, CT 06516-2233
Phone (203) 795-0000
Other practice location 1
54 Main St
Suite 1
Danbury, CT 06810
Phone (203) 790-0111
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 |
|---|---|---|---|
| 105555 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1467723734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 CANTON ST",
"address_2": "APT B15",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162233",
"telephone_number": "203-795-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 NORTH ST STE 318",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105628",
"telephone_number": "203-826-9299"
}
],
"practiceLocations": [
{
"address_1": "54 Main St",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "06810",
"country_code": "US",
"telephone_number": "203-790-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAMADAN",
"first_name": "HAISSAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-19",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "105555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.