Brookfield Pediatric Dental LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BROOKFIELD PEDIATRIC DENTAL LLC

Practice address

246 Federal Rd Ste D13
Brookfield, CT 06804-2649

Phone

(203) 791-2771

NPI assigned

Jan 12, 2024

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Meera Rathi, DDSNPI 1346733904

Title

Owner/Clinician

Phone

(862) 226-9424

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Meera Divya Rathi, DDS

  • Student in an Organized Health Care Education/Training Program
  • New York, NY
  • NPI 1346733904
  Authorized official Same address or phone
• Rohan Joshi, DMD

  • Dentist
  • Hamden, CT
  • NPI 1912570383
  NPD
• Scott Alan Bialik, D.D.S.

  • Pediatric Dentistry
  • Brookfield, CT
  • NPI 1134262546
  NPD (past)

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1497526057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PERCHERON DR",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064681372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE D13",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042649",
            "telephone_number": "203-791-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD PEDIATRIC DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "RATHI",
        "authorized_official_first_name": "MEERA",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "862-226-9424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookfield Health & Injury LLC
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• Brookfield Medical/Surgical Supplies Inc. (Brookfield Pharmacy)
• Brookfield Medical/Surgical Supplies, Inc. (Brookfield Pharmacy)
• Brookfield Orthodontics
• Brookfield Podiatry
• Brookfield Preventive Medicine, LLC
• Brookfield Primary Care, LLC
• Brookfield Public Schools
• Brookfield Speech and Language, LLC

• Pediatric Dentistry in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.