NPIMap

Organization Active NPI

Perfect Smiles of Fairfield

  • Dentist
  • Fairfield, CT
National Provider Identifier
1588955538
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
009131 Issued in CT
Legal business name
PERFECT SMILES OF FAIRFIELD
Practice address
60 Katona Dr
Suite 20
Fairfield, CT 06824-3544
Phone
(203) 561-5749
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Caroline Shenker, D.M.D.NPI 1891922811
Title
Dentist
Phone
(203) 561-5749

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 009131 CT Primary

Addresses

Primary practice location

60 Katona Dr
Suite 20
Fairfield, CT 06824-3544

Mailing address

60 Katona Drive
Suite 20
Fairfield, CT 06824
Phone (203) 561-5749

National Provider Directory

National Provider Directory

Locations

60 Katona Dr
Ste 20
Fairfield, CT 06824
Phone (203) 561-5749

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1588955538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 KATONA DRIVE",
            "address_2": "SUITE 20",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "06824",
            "telephone_number": "203-561-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 KATONA DR",
            "address_2": "SUITE 20",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068243544",
            "telephone_number": "203-561-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT SMILES OF FAIRFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SHENKER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-561-5749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "009131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.