Active NPI
Joseph W Worthington, DDS
- Dentist
- Fairfield, CT
National Provider Identifier
1487838009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 008214
- Practice address
- 1305 Post Rd
Suite 104
Fairfield, CT 06824-6016 - Phone
- (203) 256-8073
- Fax
- (203) 256-8378
- NPI assigned
- Dec 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 008214 | CT | Primary |
Addresses
Primary practice location
1305 Post Rd
Suite 104
Fairfield, CT 06824-6016
Mailing address
1305 Post Rd
Suite 104
Fairfield, CT 06824-6016
Phone (203) 256-8073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008214 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1487838009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 POST RD",
"address_2": "SUITE 104",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016",
"telephone_number": "203-256-8073",
"fax_number": "203-256-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 POST RD",
"address_2": "SUITE 104",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246016",
"telephone_number": "203-256-8073",
"fax_number": "203-256-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHINGTON",
"first_name": "JOSEPH",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "008214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.