Alyssa Kievit, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11164 Issued in CT

Practice address

901 Farmington Ave Ste 201
West Hartford, CT 06119-1418

Phone

(860) 232-4511

NPI assigned

Mar 13, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Wallingford Dental Associates

  • General Practice Dentistry
  • Wallingford, CT
  • NPI 1558411058
  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578804795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191418",
            "telephone_number": "860-232-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 FARMINGTON AVE STE 201",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191418",
            "telephone_number": "860-232-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N Main St",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064923711",
            "country_code": "US",
            "telephone_number": "203-265-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIEVIT",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11164",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KGM Transportation LLC
• Mujeeb Khalique, M.D.
• Khmer Health Advocates, Inc.
• Doha Jamil Khoury, MSW LCSW
• Kievit Dental, PLLC (Beautiful Smiles)
• Robert Ernest Kievit, D.M.D.
• Mia S. Kim, LMFT
• Kimberly Platt
• Emily King
• Heidi Caroline King, APRN, PMHNP-BC

• General Practice Dentistry in West Hartford, CT
• Providers in West Hartford, 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 Mar 17, 2018; 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.