Individual provider Active NPI

Stephen M Molinaro, DDS

  • General Practice Dentistry
  • Ridgefield, CT
National Provider Identifier
1497979223
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007961 Issued in CT
Practice address
710 Branchville Rd
Ridgefield, CT 06877-6129
Phone
(203) 544-8771
Fax
(203) 544-1036
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 007961 CT Primary

Addresses

Primary practice location

710 Branchville Rd
Ridgefield, CT 06877-6129

Mailing address

710 Branchville Rd
Ridgefield, CT 06877-6129
Phone (203) 544-8771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160415001274 CT Order and Referring Only - DentistPractitioner - Dentist 9638477177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007961CTMDGeneral Practice Dentistry
7961CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Dentistry Past Accepting new patients
Family Practice Dentistry of Ridgefield LLC General Practice PastSince Oct 13, 2024 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497979223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 BRANCHVILLE RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776129",
            "telephone_number": "203-544-8771",
            "fax_number": "203-544-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 BRANCHVILLE RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068776129",
            "telephone_number": "203-544-8771",
            "fax_number": "203-544-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINARO",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

Verify at the official NPI Registry.