Organization Active NPI

Rockwall Orthodontics Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Westport, CT
National Provider Identifier
1508517756
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ROCKWALL ORTHODONTICS INC
Practice address
1460 Post Rd E
Westport, CT 06880-5500
Phone
(203) 226-9579
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Authorized official

Name
Dr. Stephen Nicholas Cagliostro, DMDNPI 1346677614
Title
President
Phone
(203) 226-9579

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1460 Post Rd E
Westport, CT 06880-5500

Mailing address

1460 Post Rd E
Westport, CT 06880-5500
Phone (203) 226-9579

Other names 1

  • Westwalk Orthodontic Group Doing business as

National Provider Directory

National Provider Directory

Locations

1460 Post Rd E
Westport, CT 06880
Phone (203) 226-9579

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641772800000",
    "number": "1508517756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805500",
            "telephone_number": "203-226-9579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805500",
            "telephone_number": "203-226-9579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL ORTHODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "CAGLIOSTRO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-226-9579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westwalk Orthodontic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.