Individual provider Active NPI

Nancy Kelly Treiber, D.M.D.

  • General Practice Dentistry
  • New Britain, CT
National Provider Identifier
1487669891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007771 Issued in CT
Practice address
601 Farmington Ave
New Britain, CT 06053-1943
Phone
(860) 225-8744
Fax
(860) 225-8745
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 007771 CT Primary

Addresses

Primary practice location

601 Farmington Ave
New Britain, CT 06053-1943

Mailing address

740 Prospect St
Plantsville, CT 06479-1040
Phone (860) 621-5425

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
I20150616001267 CT Order and Referring Only - DentistPractitioner - Dentist 9638480726

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007771CTMDGeneral Practice Dentistry
7771CTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487669891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 PROSPECT ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791040",
            "telephone_number": "860-621-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FARMINGTON AVE",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531943",
            "telephone_number": "860-225-8744",
            "fax_number": "860-225-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREIBER",
        "first_name": "NANCY",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.