Active NPI
Town of Fairfield
- Public Health or Welfare Agency
- Fairfield, CT
National Provider Identifier
1609932151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- TOWN OF FAIRFIELD
- Practice address
- 100 Mona Terrace
Fairfield, CT 06824-6684 - Phone
- (203) 256-3150
- Fax
- (203) 256-3172
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Sands Cleary
- Title
- Director
- Phone
- (203) 256-3020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
100 Mona Terrace
Fairfield, CT 06824-6684
Mailing address
725 Old Post Rd
Fairfield, CT 06824-6684
Phone (203) 256-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68VNA0052CT01 | Other | CT | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140123000276 | CT | Part B Supplier - Mass Immunization (Roster Biller Only) | 0345478210 | Practice locations: Fairfield, CT |
National Provider Directory
National Provider DirectoryLocations
100 Mona Ter
Fairfield, CT 06824
Phone (203) 256-3020
100 Mona Ter
Ofc
Fairfield, CT 06824
Phone (203) 256-3020
725 Old Post Rd
Fairfield, CT 06824
Phone (203) 256-3020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dental Hygienist
- Fairfield, CT
- NPI 1194963348
-
- Dental Hygienist
- Fairfield, CT
- NPI 1538316526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475712000000",
"number": "1609932151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 OLD POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246684",
"telephone_number": "203-256-3020",
"fax_number": "203-254-8850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MONA TERRACE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246684",
"telephone_number": "203-256-3150",
"fax_number": "203-256-3172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF FAIRFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2016-10-06",
"status": "A",
"authorized_official_last_name": "CLEARY",
"authorized_official_first_name": "SANDS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "203-256-3020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "68VNA0052CT01",
"state": "CT"
}
],
"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 Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.