NPIMap

Organization Active NPI

Hartford Cosmetic Dental Center

  • General Practice Dentistry
  • Hartford, CT
National Provider Identifier
1518256643
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10110 Issued in CT
Legal business name
HARTFORD COSMETIC DENTAL CENTER
Practice address
609 Farmington Ave # LL2
Hartford, CT 06105-3081
Phone
(860) 206-9641
NPI assigned
Mar 29, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Chia Hui Jenny KwonNPI 1093048290
Title
Dentist/Part Owner of the Office
Phone
(917) 453-4055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10110 CT Primary
Pediatric Dentistry 1223P0221X 10004 CT

Addresses

Primary practice location

609 Farmington Ave # LL2
Hartford, CT 06105-3081

Mailing address

609 Farmington Ave # LL2
Hartford, CT 06105-3081
Phone (860) 206-9641

National Provider Directory

National Provider Directory

Locations

609 Farmington Ave
Lowr 2
Hartford, CT 06105
Phone (860) 206-9641

Practitioners & affiliated clinicians

Practitioners 1

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": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1518256643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 FARMINGTON AVE # LL2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053081",
            "telephone_number": "860-206-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 FARMINGTON AVE # LL2",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053081",
            "telephone_number": "860-206-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD COSMETIC DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "CHIA HUI",
        "authorized_official_middle_name": "JENNY",
        "authorized_official_title_or_position": "DENTIST/PART OWNER OF THE OFFICE",
        "authorized_official_telephone_number": "917-453-4055"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10110",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "10004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.