NPIMap

Organization Active NPI

West Hartford Family Dentistry

  • General Practice Dentistry
  • West Hartford, CT
National Provider Identifier
1487838330
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEST HARTFORD FAMILY DENTISTRY
Practice address
342 N Main St
Suite # 300
West Hartford, CT 06117-2500
Phone
(860) 233-0552
Fax
(860) 233-9614
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Roy W. Shakun, D.M.D.NPI 1477663920
Title
President
Phone
(860) 233-0552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

342 N Main St
Suite # 300
West Hartford, CT 06117-2500

Mailing address

342 N Main St
Suite # 300
West Hartford, CT 06117-2500
Phone (860) 233-0552

National Provider Directory

National Provider Directory

Locations

342 N Main St
Ste 300
West Hartford, CT 06117
Phone (860) 233-0552

Practitioners & affiliated clinicians

Practitioners 4

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": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1487838330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST",
            "address_2": "SUITE # 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172500",
            "telephone_number": "860-233-0552",
            "fax_number": "860-233-9614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 N MAIN ST",
            "address_2": "SUITE # 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172500",
            "telephone_number": "860-233-0552",
            "fax_number": "860-233-9614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HARTFORD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SHAKUN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-233-0552",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.