Organization Active NPI

Wladimir Gedeon DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Danbury, CT
National Provider Identifier
1568680346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9151 Issued in CT
Legal business name
WLADIMIR GEDEON DDS PC
Practice address
93 West St
Suite 5
Danbury, CT 06810-6525
Phone
(203) 744-1240
Fax
(203) 730-1455
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Wladimir Gedeon, D.D.S.NPI 1942212030
Title
Owner
Phone
(203) 744-1240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 9151 CT Primary

Addresses

Primary practice location

93 West St
Suite 5
Danbury, CT 06810-6525

Mailing address

93 West St
Suite 5
Danbury, CT 06810-6525
Phone (203) 744-1240

National Provider Directory

National Provider Directory

Locations

93 West St
Ste 5
Danbury, CT 06810
Phone (203) 744-1240

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568680346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 WEST ST",
            "address_2": "SUITE 5",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106525",
            "telephone_number": "203-744-1240",
            "fax_number": "203-730-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WEST ST",
            "address_2": "SUITE 5",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106525",
            "telephone_number": "203-744-1240",
            "fax_number": "203-730-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WLADIMIR GEDEON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEDEON",
        "authorized_official_first_name": "WLADIMIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-744-1240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "9151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.