NPIMap

Organization Active NPI

James H. Mendillo, DMD

  • General Practice Dentistry
  • Branford, CT
National Provider Identifier
1518221092
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
486500 Issued in CT
Legal business name
JAMES H. MENDILLO, DMD
Practice address
62 Kirkham St
Branford, CT 06405-3504
Phone
(203) 488-6314
Fax
(203) 488-3080
NPI assigned
Jun 28, 2012
Last updated
Jun 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
James H Mendillo, DMDNPI 1356479273
Title
Owner
Phone
(203) 488-6314

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 486500 CT Primary

Addresses

Primary practice location

62 Kirkham St
Branford, CT 06405-3504

Mailing address

62 Kirkham St
Branford, CT 06405-3504
Phone (203) 488-6314

Other names 1

  • Mendillo Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

62 Kirkham St
Branford, CT 06405
Phone (203) 488-6314

Practitioners & affiliated clinicians

Practitioners 4

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": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1518221092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 KIRKHAM ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053504",
            "telephone_number": "203-488-6314",
            "fax_number": "203-488-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 KIRKHAM ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053504",
            "telephone_number": "203-488-6314",
            "fax_number": "203-488-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES H. MENDILLO, DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "MENDILLO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-488-6314",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "486500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mendillo Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Branford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.