Fairfield County Implants and Periodontics

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

6434 Issued in CT

Legal business name

FAIRFIELD COUNTY IMPLANTS AND PERIODONTICS

Practice address

1047 Old Post Rd
Fairfield, CT 06824-5906

Phone

(203) 254-2006

Fax

(203) 254-9201

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Kevin Sonick, D.M.D.NPI 1225253016

Title

Managing Partner

Phone

(203) 254-2006

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Kevin Sonick, DMD

  • Periodontics
  • Fairfield, CT
  • NPI 1225253016
  NPD (past) Authorized official
• Rui Ma

  • Periodontics
  • Fairfield, CT
  • NPI 1376958520
  NPD (past)
• Evelyn Spencer, DMD

  • Periodontics
  • Fairfield, CT
  • NPI 1326616319
  NPD (past)

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1518401702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 OLD POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245906",
            "telephone_number": "203-254-2006",
            "fax_number": "203-254-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 OLD POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245906",
            "telephone_number": "203-254-2006",
            "fax_number": "203-254-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY IMPLANTS AND PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "SONICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "203-254-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "6434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairfield County Child and Adolescent Therapy, LLC
• Fairfield County Counseling
• Fairfield County Health & Wellness Services II LLC
• Fairfield County Health & Wellness Services, LLC
• Fairfield County Implants & Periodontics, PC
• Fairfield County Lifestyle Consultants, LLC
• Fairfield Dental Associates PC
• Fairfield Dermatology, P.C.
• Fairfield Family Dental Group PC
• Fairfield Family Health

• Periodontics in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Periodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.