Active NPI
Tooth & Gums Dentistry
- General Practice Dentistry
- Hartford, CT
National Provider Identifier
1588005243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 010554
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryNPI 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.