New Haven Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010930 Issued in CT

Legal business name

NEW HAVEN FAMILY DENTAL

Practice address

214 Grand Ave
New Haven, CT 06513

Phone

(215) 421-7576

NPI assigned

Apr 20, 2015

Last updated

May 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lakshmi BethiNPI 1053669473

Title

General Dentist

Phone

(215) 421-7576

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Lakshmi Bethi, DMD

  • Dentist
  • Springfield, MA
  • NPI 1053669473
  Authorized official Same address or phone

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1518354380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FOX HOLLOW DRIVE",
            "city": "WINDSOR LOCKS",
            "state": "CT",
            "postal_code": "06096",
            "telephone_number": "215-421-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 GRAND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06513",
            "telephone_number": "215-421-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "BETHI",
        "authorized_official_first_name": "LAKSHMI",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "215-421-7576"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL DENTIST",
            "identifier": "010930",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Haven Board of Education
• New Haven Center for Nursing & Rehabilitation, LLC
• New Haven Chiropractic & Sports Rehabilitation LLC
• New Haven Chiropractic, LLC
• New Haven Dental Group
• New Haven Family Dental Group LLC (Horizon Dental Group)
• New Haven Family Foot Care and Surgery,LLC (Family Foot Cate and Surgery of Ridgefield)
• New Haven Health Care (West Rock Health Care Facility)
• New Haven Health Care (West Rock Health Care)
• New Haven Implant and Oral Surgery, LLC

• General Practice Dentistry in New Haven, CT
• Providers in New Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.