NPIMap

Organization Active NPI

Danbury Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Danbury, CT
National Provider Identifier
1528498474
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
009802 Issued in CT
Legal business name
DANBURY ORTHODONTICS
Practice address
57 North St Ste 122
Danbury, CT 06810-5626
Phone
(203) 778-4153
Fax
(203) 683-0524
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Dr. Shyam Desai
Title
Owner/Orthodontist
Phone
(203) 374-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 009802 CT Primary

Addresses

Primary practice location

57 North St Ste 122
Danbury, CT 06810-5626

Mailing address

57 North St Ste 122
Danbury, CT 06810-5626
Phone (203) 778-4153

Other names 1

  • CT Braces, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
CT Braces LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

57 North St
Ste 122
Danbury, CT 06810
Phone (203) 778-4153

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1528498474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NORTH ST STE 122",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105626",
            "telephone_number": "203-778-4153",
            "fax_number": "203-683-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 NORTH ST STE 122",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105626",
            "telephone_number": "203-778-4153",
            "fax_number": "203-683-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANBURY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "203-374-1911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "009802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CT Braces, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.