Dimitri Adamidis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13850 Issued in CT

Practice address

365 Willard Ave
Newington, CT 06111-2373

Phone

(860) 666-7910

NPI assigned

May 16, 2022

Last updated

Jul 11, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Francis Hospital and Medical Center

  • Dental Clinic/Center
  • Hartford, CT
  • NPI 1003805524
  NPD (past)

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1558008102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112373",
            "telephone_number": "860-666-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WILLARD AVE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112373",
            "telephone_number": "860-666-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMIDIS",
        "first_name": "DIMITRI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A & D Professional Homecare Services, Inc.
• A Walk-in Medical Center
• A Walk-in Medical Center LLC
• Marlena Abbott
• Abundant Life Integrative Medicine LLC
• Theodore J Adamidis, DMD
• Manju Aggarwal, MD
• Jemel Aguilar, MSW, PHD
• Joanna Ahern
• Aimee Zagaja LCSW PLLC

• General Practice Dentistry in Newington, CT
• Providers in Newington, 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 Jul 11, 2023; 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.