NPIMap

Organization Active NPI

Norwalk Family Dental, PC

  • Dental Clinic/Center
  • Norwalk, CT
National Provider Identifier
1497283022
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
11707 Issued in CT
Legal business name
NORWALK FAMILY DENTAL, PC
Practice address
26 Chestnut Hill Rd
Norwalk, CT 06851-2524
Phone
(203) 846-3251
Fax
(203) 846-3870
NPI assigned
May 26, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Nazneen Rehan Jaffri, DDSNPI 1578944823
Title
President
Phone
(917) 886-9048

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
Dental Clinic/Center 261QD0000X 11707 CT Primary

Addresses

Primary practice location

26 Chestnut Hill Rd
Norwalk, CT 06851-2524

Mailing address

26 Chestnut Hill Rd
Norwalk, CT 06851-2524
Phone (203) 846-3251

Other identifiers 1

IdentifierTypeStateIssuer
008068762MedicaidCT

National Provider Directory

National Provider Directory

Locations

26 Chestnut Hill Rd
Norwalk, CT 06851
Phone (203) 846-3251

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497283022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHESTNUT HILL RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512524",
            "telephone_number": "203-846-3251",
            "fax_number": "203-846-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHESTNUT HILL RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068512524",
            "telephone_number": "203-846-3251",
            "fax_number": "203-846-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK FAMILY DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAFFRI",
        "authorized_official_first_name": "NAZNEEN",
        "authorized_official_middle_name": "REHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-886-9048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "11707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008068762",
            "state": "CT"
        }
    ],
    "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 21, 2022; 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.