Brass City Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010751 Issued in CT

Legal business name

BRASS CITY DENTISTRY

Practice address

3670 E Main St
Suite 10
Waterbury, CT 06705-3851

Phone

(203) 754-0184

NPI assigned

Jan 19, 2013

Last updated

Jan 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bilal Ahmed, DDS

Title

Dentist

Phone

(317) 437-3221

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Ivette Lora, DMD

  • General Practice Dentistry
  • Brookfield, CT
  • NPI 1831758754
  NPD (past)

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

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358553600000",
    "number": "1568700920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 POMEROY AVE",
            "address_2": "UNIT 1102",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064507165",
            "telephone_number": "317-437-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 E MAIN ST",
            "address_2": "SUITE 10",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067053851",
            "telephone_number": "203-754-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRASS CITY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-19",
        "last_updated": "2013-01-19",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "BILAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-437-3221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008040721",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008040725",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter J. Branden, M.D.
• Lacey A Brandon
• Arlanda Brantley
• Brass City Chiropractic Center, LLC
• Brass City Counseling.
• Brass City Pharmacy Inc
• Brass Mill Mall Dental L.L.P
• Brass Mill Pharmacy, LLC (Park Pharmacy)
• Miguel Angel Bravo Jr., MD
• Ashley Brea

• General Practice Dentistry in Waterbury, CT
• Providers in Waterbury, 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 Jan 19, 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.