Organization Active NPI

Dental Associates of Wethersfield

  • General Practice Dentistry
  • Wethersfield, CT
National Provider Identifier
1508971557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL ASSOCIATES OF WETHERSFIELD
Practice address
20-30 Beaver Rd Ste 102
Wethersfield, CT 06109-2242
Phone
(860) 721-7428
Fax
(860) 257-0757
NPI assigned
Aug 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Randall Joseph Rushin, DDSNPI 1467402693
Title
Patner
Phone
(860) 721-7428

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

20-30 Beaver Rd Ste 102
Wethersfield, CT 06109-2242

Mailing address

20-30 Beaver Rd Ste 102
Wethersfield, CT 06109-2242
Phone (860) 721-7428

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508971557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20-30 BEAVER RD STE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092242",
            "telephone_number": "860-721-7428",
            "fax_number": "860-257-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-30 BEAVER RD STE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092242",
            "telephone_number": "860-721-7428",
            "fax_number": "860-257-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF WETHERSFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSHIN",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PATNER",
        "authorized_official_telephone_number": "860-721-7428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.