Organization Active NPI

Hamden Dental Care

Doing business as Connect Family Dental

  • General Practice Dentistry
  • Hamden, CT
National Provider Identifier
1477998086
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CT10201 Issued in CT
Legal business name
HAMDEN DENTAL CARE
Doing business as
Connect Family Dental
Practice address
953 Dixwell Ave
Building C First Floor
Hamden, CT 06514-4951
Phone
(603) 738-6808
NPI assigned
May 9, 2013
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Chandra Mohan Manish, DMDNPI 1821224064
Title
Dentist
Phone
(603) 738-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X CT10201 CT Primary

Addresses

Primary practice location

953 Dixwell Ave
Building C First Floor
Hamden, CT 06514-4951

Mailing address

50 Holy Family Rd
Apt 205
Holyoke, MA 01040-2846
Phone (603) 738-6808

Other names 1

  • Connect Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1477998086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HOLY FAMILY RD",
            "address_2": "APT 205",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402846",
            "telephone_number": "603-738-6808",
            "fax_number": "413-322-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 DIXWELL AVE",
            "address_2": "BUILDING C FIRST FLOOR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144951",
            "telephone_number": "603-738-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMDEN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "MANISH",
        "authorized_official_first_name": "CHANDRA MOHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "603-738-6808",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "CT10201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connect Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.