Active NPI
Richard Baranello
- Dentist
- Cos Cob, CT
National Provider Identifier
1619029469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8536
- Practice address
- 533 E Putnam Ave
Cos Cob, CT 06807-2506 - Phone
- (203) 661-5777
- Fax
- (203) 661-9545
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8536 | CT | Primary |
Addresses
Primary practice location
533 E Putnam Ave
Cos Cob, CT 06807-2506
Mailing address
533 E Putnam Ave
Cos Cob, CT 06807-2506
Phone (203) 661-5777
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8536 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619029469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 E PUTNAM AVE",
"city": "COS COB",
"state": "CT",
"postal_code": "068072506",
"telephone_number": "203-661-5777",
"fax_number": "203-661-9545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "533 E PUTNAM AVE",
"city": "COS COB",
"state": "CT",
"postal_code": "068072506",
"telephone_number": "203-661-5777",
"fax_number": "203-661-9545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARANELLO",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "8536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cos Cob, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.