NPIMap

Organization Active NPI

Cosmetic and Reconstructive Dentistry Associates, P.C.

  • General Practice Dentistry
  • Fairfield, CT
National Provider Identifier
1508993817
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4389 Issued in CT
Legal business name
COSMETIC AND RECONSTRUCTIVE DENTISTRY ASSOCIATES, P.C.
Practice address
1275 Post Rd
Suite 201
Fairfield, CT 06824-6015
Phone
(203) 255-6878
Fax
(203) 319-1124
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Dr. Stephen Henry Guss, D.D.S.NPI 1619030715
Title
President
Phone
(203) 255-6878

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4389 CT Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 5010 CT
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 8447 CT

Addresses

Primary practice location

1275 Post Rd
Suite 201
Fairfield, CT 06824-6015

Mailing address

1275 Post Rd
Suit 201
Fairfield, CT 06824-6015
Phone (203) 255-6878

National Provider Directory

National Provider Directory
Tax ID family
Cosmetic and Reconstructive Dentistry2 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.

Locations

1275 Post Rd
Ste 201
Fairfield, CT 06824
Phone (203) 255-6878

Practitioners & affiliated clinicians

Practitioners 2

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1508993817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "address_2": "SUIT 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-255-6878",
            "fax_number": "203-319-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 POST RD",
            "address_2": "SUITE 201",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246015",
            "telephone_number": "203-255-6878",
            "fax_number": "203-319-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC AND RECONSTRUCTIVE DENTISTRY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "GUSS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-255-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4389",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "5010",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.