Organization Active NPI

Farmington Dental PLLC

Doing business as Family Dental Care of Farmington

  • Dental Clinic/Center
  • Farmington, CT
National Provider Identifier
1619514718
Registry record updated Dec 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
FARMINGTON DENTAL PLLC
Doing business as
Family Dental Care of Farmington
Practice address
200 Mountain Rd
Farmington, CT 06032-2479
Phone
(860) 677-8687
NPI assigned
Dec 8, 2019
Last updated
Dec 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2019

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

Authorized official

Name
Jing Zhang, DMDNPI 1780967612
Title
Member
Phone
(617) 894-2408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

200 Mountain Rd
Farmington, CT 06032-2479

Mailing address

200 Mountain Rd
Farmington, CT 06032-2479
Phone (860) 677-8687

Other names 1

  • Family Dental Care of Farmington Doing business as

National Provider Directory

National Provider Directory

Locations

200 Mountain Rd
Farmington, CT 06032
Phone (860) 676-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1619514718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MOUNTAIN RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322479",
            "telephone_number": "860-677-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MOUNTAIN RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322479",
            "telephone_number": "860-677-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-894-2408",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care of Farmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.