Active NPI
Dean F Uphoff, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Hartford, CT
National Provider Identifier
1588665707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 014081
- Practice address
- 80 Seymour St
Hartford, CT 06102 - Phone
- (860) 972-2249
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 014081 | CT | Primary |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06102
Mailing address
99 East River Drive
5TH Floor
East Hartford, CT 06106-3212
Phone (860) 282-0833
Other practice location 1
111 Founders Plz
#300 C/O Ipms
East Hartford, CT 06108-3212
Phone (860) 282-4137
Other practice location 2
80 Seymour St
Hartford, CT 06102
Phone (860) 972-2249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001140813 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014081 | CT | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1588665707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 EAST RIVER DRIVE",
"address_2": "5TH FLOOR",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061063212",
"telephone_number": "860-282-0833",
"fax_number": "860-282-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 SEYMOUR ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06102",
"telephone_number": "860-972-2249"
}
],
"practiceLocations": [
{
"address_1": "111 Founders Plz",
"address_2": "#300 C/O IPMS",
"address_purpose": "LOCATION",
"city": "East Hartford",
"state": "CT",
"postal_code": "061083212",
"country_code": "US",
"telephone_number": "860-282-4137",
"fax_number": "860-282-0170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "80 Seymour St",
"address_purpose": "LOCATION",
"city": "Hartford",
"state": "CT",
"postal_code": "06102",
"country_code": "US",
"telephone_number": "860-972-2249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UPHOFF",
"first_name": "DEAN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CT",
"license": "014081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001140813",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
- University of Connecticut- Hartford Hospital
- University of Connecticut/Capital Area Health Consortium
- Unlimited Family Services LLC
- Avninder Upadhyay
- Stephen Michael Upham, MD
- Sravya Uppalapati
- Urban League of Greater Hartford
- Urban Nursing & Community Care, LLC
- Urban Wellness Center LLC
- Jessica Urban-Jack, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.