Michele Salonia Boccalatte, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5646 Issued in CT

Practice address

955 S Main St
Middletown, CT 06457-5153

Phone

(860) 346-6737

Fax

(860) 704-0239

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Michele Salonia Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Sleep Medicine of Central Connecticut, LLC

  • Customized Equipment (DME)
  • Middletown, CT
  • NPI 1740794445
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1477580538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575153",
            "telephone_number": "860-346-6737",
            "fax_number": "860-704-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575153",
            "telephone_number": "860-346-6737",
            "fax_number": "860-704-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCALATTE",
        "first_name": "MICHELE",
        "middle_name": "SALONIA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LISCENSE NUMBER",
            "identifier": "CT5646",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER IDENTIFICATION",
            "identifier": "061065268",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "SALONIA",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jonathan D Blancaflor, MD
• Rosemary Bleyer, PH.D.
• Lee Bloom, M.D.
• Blue Hills Behavioral Health
• Ginger Elaine Blume, PH D
• Brian Boehme
• Makayla Boisvert
• Kimberly Ellen Boldon, NP-C
• Dina R Bolella
• Rachel Miriam Bonaparte, LCSW

• All providers in Middletown, CT
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.