NPIMap

Organization Active NPI

Candlewood Dental Care Inc

  • General Practice Dentistry
  • New Fairfield, CT
National Provider Identifier
1588915821
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7208 Issued in CT
Legal business name
CANDLEWOOD DENTAL CARE INC
Practice address
87 State Route 39
New Fairfield, CT 06812-4120
Phone
(203) 746-1200
Fax
(203) 746-2315
NPI assigned
Sep 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Lorraine Burio, D.M.D.NPI 1255351169
Title
Owner/Dentist
Phone
(203) 746-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7208 CT Primary

Addresses

Primary practice location

87 State Route 39
New Fairfield, CT 06812-4120

Mailing address

87 State Route 39
New Fairfield, CT 06812-4120
Phone (203) 746-1200

National Provider Directory

National Provider Directory

Locations

87 State Route 39
New Fairfield, CT 06812
Phone (203) 746-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1588915821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 STATE ROUTE 39",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124120",
            "telephone_number": "203-746-1200",
            "fax_number": "203-746-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 STATE ROUTE 39",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068124120",
            "telephone_number": "203-746-1200",
            "fax_number": "203-746-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLEWOOD DENTAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "BURIO",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "203-746-1200",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.