NPIMap

Organization Active NPI

Kids Dental Care New Britain, LLC

  • Pediatric Dentistry
  • New Britain, CT
National Provider Identifier
1558727131
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7893 Issued in CT
Legal business name
KIDS DENTAL CARE NEW BRITAIN, LLC
Practice address
1141 Stanley St
New Britain, CT 06051-1507
Phone
(860) 584-0441
Fax
(860) 516-8918
NPI assigned
Jan 12, 2016
Last updated
Jan 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Dr. Ammar Idlibi, DMDNPI 1376569012
Title
Owner
Phone
(860) 584-0441

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 7893 CT
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7893 CT
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 7893 CT Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 7893 CT

Addresses

Primary practice location

1141 Stanley St
New Britain, CT 06051-1507

Mailing address

1141 Stanley St
New Britain, CT 06051-1507
Phone (860) 584-0441

National Provider Directory

National Provider Directory

Locations

1141 Stanley St
New Britain, CT 06051
Phone (860) 584-0441

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": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1558727131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 STANLEY ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511507",
            "telephone_number": "860-584-0441",
            "fax_number": "860-516-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 STANLEY ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511507",
            "telephone_number": "860-584-0441",
            "fax_number": "860-516-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL CARE NEW BRITAIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "IDLIBI",
        "authorized_official_first_name": "AMMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-584-0441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "7893",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7893",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "7893",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "7893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.