Newington Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NEWINGTON DENTAL CARE, PLLC

Practice address

825 Cromwell Ave Ste F
Rocky Hill, CT 06067-3013

Phone

(860) 721-9002

NPI assigned

Jul 23, 2020

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Director of Reve Cycle

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Tax ID family

Cedar Mountain Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Newington Dental Care, PLLC

  • General Practice Dentistry
  • Newington, CT
  • NPI 1578193397
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Leslie Pergiovanni, D.M.D.

  • General Practice Dentistry
  • Rocky Hill, CT
  • NPI 1700229168
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1497364798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 CROMWELL AVE STE F",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673013",
            "telephone_number": "860-721-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 CROMWELL AVE STE F",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673013",
            "telephone_number": "860-721-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWINGTON DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR OF REVE CYCLE",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Home Care Inc.
• New England Psychological &Neuropsychological Associates LLC
• New Leaf Institute of Behavioral Health LLC
• New Moon Counseling and Wellness PLLC
• New Vision CT
• Huong T Nguyen, POST- MSN, APRN
• Niaz Ahmed, DDS, LLC
• Nicole Castiglioni LLC
• Melane Ninonuevo
• Shannon Andrea Noble, LMT

• General Practice Dentistry in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.