Active NPI
Christine Soucy
- Dental Hygienist
- Enfield, CT
National Provider Identifier
1629529987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 4044
- Practice address
- 5 N Main St
Enfield, CT 06082-3372 - Phone
- (860) 347-6971
- Fax
- (860) 638-6601
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 4044 | CT | Primary |
Addresses
Primary practice location
5 N Main St
Enfield, CT 06082-3372
Mailing address
49 Leslie St
Windsor Locks, CT 06096-1116
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1629529987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LESLIE ST",
"city": "WINDSOR LOCKS",
"state": "CT",
"postal_code": "060961116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 N MAIN ST",
"city": "ENFIELD",
"state": "CT",
"postal_code": "060823372",
"telephone_number": "860-347-6971",
"fax_number": "860-638-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUCY",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "4044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.