Organization Active NPI

Tooth Time Dentistry, LLC

  • General Practice Dentistry
  • East Hartford, CT
National Provider Identifier
1487004586
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10744 Issued in CT
Legal business name
TOOTH TIME DENTISTRY, LLC
Practice address
800 Silver LN
Suite 222
East Hartford, CT 06118-1296
Phone
(860) 263-7791
NPI assigned
Jun 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Authorized official

Name
Dr. Catherine S. Lim, D.M.D.
Title
Dentist
Phone
(516) 554-1670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10744 CT Primary

Addresses

Primary practice location

800 Silver LN
Suite 222
East Hartford, CT 06118-1296

Mailing address

800 Silver LN
Suite 222
East Hartford, CT 06118-1296
Phone (860) 263-7791

National Provider Directory

National Provider Directory

Locations

800 Silver Ln
Ste 222
East Hartford, CT 06118
Phone (860) 263-7791

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1487004586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SILVER LN",
            "address_2": "SUITE 222",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181296",
            "telephone_number": "860-263-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SILVER LN",
            "address_2": "SUITE 222",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181296",
            "telephone_number": "860-263-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH TIME DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-554-1670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.