Organization Active NPI

Tooth & Gums Dentistry

  • General Practice Dentistry
  • Hartford, CT
National Provider Identifier
1588005243
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
010554 Issued in CT
Legal business name
TOOTH & GUMS DENTISTRY
Doing business as
Tooth & Gumz
Practice address
1500 Albany Ave
Hartford, CT 06112-2113
Phone
(860) 293-2003
Fax
(860) 293-2007
NPI assigned
Jul 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Aviral Chandra, DMD
Title
Owner
Phone
(860) 293-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 010554 CT Primary

Addresses

Primary practice location

1500 Albany Ave
Hartford, CT 06112-2113

Mailing address

1500 Albany Ave
Hartford, CT 06112-2113
Phone (860) 293-2003

Other names 1

  • Tooth & Gumz Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1588005243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122113",
            "telephone_number": "860-293-2003",
            "fax_number": "860-293-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALBANY AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061122113",
            "telephone_number": "860-293-2003",
            "fax_number": "860-293-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTH & GUMS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "AVIRAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-293-2003",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth & Gumz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.