NPIMap

Organization Active NPI

Siz, LLC

Doing business as Grand Dental

  • General Practice Dentistry
  • Bridgeport, CT
National Provider Identifier
1588064349
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009562 Issued in CT
Legal business name
SIZ, LLC
Doing business as
Grand Dental
Practice address
1041-1043 East Main Street
Bridgeport, CT 06608-1916
Phone
(203) 691-6145
Fax
(203) 691-5515
NPI assigned
Aug 29, 2014
Last updated
Sep 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Dr. Iffat Nazneen, D.D.S.NPI 1538331434
Title
Owner/Dentist
Phone
(203) 691-6145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 009562 CT Primary

Addresses

Primary practice location

1041-1043 East Main Street
Bridgeport, CT 06608-1916

Mailing address

1041-1043 East Main Street
Bridgeport, CT 06608-1916

Other names 1

  • Grand Dental Doing business as

National Provider Directory

National Provider Directory

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": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1588064349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041-1043 EAST MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041-1043 EAST MAIN STREET",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066081916",
            "telephone_number": "203-691-6145",
            "fax_number": "203-691-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "NAZNEEN",
        "authorized_official_first_name": "IFFAT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "203-691-6145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.