NPIMap

Organization Active NPI

Trumbull Dental Arts PLLC

  • General Practice Dentistry
  • Trumbull, CT
National Provider Identifier
1588135164
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRUMBULL DENTAL ARTS PLLC
Practice address
160 Hawley LN # 101
Trumbull, CT 06611-5300
Phone
(203) 377-0638
NPI assigned
Dec 8, 2018
Last updated
Feb 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Alison Kudish, DMDNPI 1194107318
Title
Owner
Phone
(203) 910-2776

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 Dentistry 1223G0001X Primary

Addresses

Primary practice location

160 Hawley LN # 101
Trumbull, CT 06611-5300

Mailing address

160 Hawley LN # 101
Trumbull, CT 06611-5300
Phone (203) 377-0638

National Provider Directory

National Provider Directory

Locations

160 Hawley Ln
#101
Trumbull, CT 06611
Phone (203) 377-0638

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": "1544227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1588135164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN # 101",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-377-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HAWLEY LN # 101",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066115300",
            "telephone_number": "203-377-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUMBULL DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-08",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "KUDISH",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-910-2776",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.