Individual provider Active NPI

Daniel Brian Geelan, D.M.D

  • General Practice Dentistry
  • Avon, CT
National Provider Identifier
1477574242
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7981 Issued in CT
Practice address
20 W Avon Rd
Avon Dental Group
Avon, CT 06001-3677
Phone
(860) 673-0451
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7981 CT
General Practice Dentistry 1223G0001X 7981 CT Primary

Addresses

Primary practice location

20 W Avon Rd
Avon Dental Group
Avon, CT 06001-3677

Mailing address

20 W Avon Rd
Avon Dental Group
Avon, CT 06001-3677
Phone (860) 673-0451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000568 CT Order and Referring Only - DentistPractitioner - Dentist 1658677950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1477574242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W AVON RD",
            "address_2": "AVON DENTAL GROUP",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013677",
            "telephone_number": "860-673-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W AVON RD",
            "address_2": "AVON DENTAL GROUP",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013677",
            "telephone_number": "860-673-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEELAN",
        "first_name": "DANIEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "7981",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.