Active NPI
Amazing Smiles LLC
- General Practice Dentistry
- Norwalk, CT
National Provider Identifier
1487900528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AMAZING SMILES LLC
- Practice address
- 148 East Ave Ste 1B
Norwalk, CT 06851-5727 - Phone
- (203) 939-1616
- NPI assigned
- Jul 26, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Michael J Wiener, DDS
- Title
- Owner
- Phone
- (203) 889-0278
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Norwalk, CT
- NPI 1316143969
General Practice
National Provider Directory
National Provider DirectoryLocations
148 East Ave
Ste 1B
Norwalk, CT 06851
Phone (203) 939-1616
145 Boston Post Rd
West Haven, CT 06516
Phone (203) 889-0278
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | CT | Primary | |
| Periodontics | 1223P0300X | CT |
Addresses
NPPES NPI RegistryPrimary practice location
148 East Ave Ste 1B
Norwalk, CT 06851-5727
Mailing address
145 Boston Post Rd
West Haven, CT 06516-2026
Phone (203) 889-0278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2012.
{
"created_epoch": "1343260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343260800000",
"number": "1487900528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 BOSTON POST RD",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065162026",
"telephone_number": "203-889-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 EAST AVE STE 1B",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515727",
"telephone_number": "203-939-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING SMILES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-26",
"last_updated": "2012-07-26",
"status": "A",
"authorized_official_last_name": "WIENER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-889-0278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CT",
"license": null,
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "CT",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.