Mitra Kabakoff D.D.D., PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MITRA KABAKOFF D.D.D., PLLC

Practice address

231 Farmington Ave Ste 302
Farmington, CT 06032-1915

Phone

(860) 269-0949

NPI assigned

Jun 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mitra Kabakoff, DDSNPI 1336271030

Title

Owner

Phone

(917) 312-4744

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitra Y. Kabakoff, D.D.S.

  • Pediatric Dentistry
  • Unionville, CT
  • NPI 1336271030
  NPD Authorized official

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1477230753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 FARMINGTON AVE STE 302",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 FARMINGTON AVE STE 302",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321915",
            "telephone_number": "860-269-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRA KABAKOFF D.D.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "KABAKOFF",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-312-4744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faryal Sardar Mirza, MD
• Adrienne Vyse Miscimarra, PSY.D.
• Tanisha Mishra
• Ashley J Mitchell, MD
• Megan T Mitchell, PHARMD
• Ashita Mittal, DO
• Sanjay Mittal, M.D.
• MLT Wellness, LLC
• Niala Moallem, MD
• Viraj Indravadan Modi, D.O.

• Pediatric Dentistry in Farmington, CT
• Providers in Farmington, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.