Active NPI
Downtown Dental CT PC
- General Practice Dentistry
- Norwalk, CT
National Provider Identifier
1639613771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 010859
- Legal business name
- DOWNTOWN DENTAL CT PC
- Practice address
- 205 Main St
# 4
Norwalk, CT 06851-3530 - Phone
- (203) 857-1854
- NPI assigned
- Dec 8, 2016
- 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
- Dr. Yulian Aminov, DDS
- Title
- Dentist
- Phone
- (212) 203-1611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 010859 | CT | Primary |
Addresses
Primary practice location
205 Main St
# 4
Norwalk, CT 06851-3530
Mailing address
205 Main St
# 4
Norwalk, CT 06851
Phone (203) 857-1854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008042136 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
205 Main St
Ste 4
Norwalk, CT 06851
Phone (203) 857-1854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481155200000",
"number": "1639613771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 MAIN ST",
"address_2": "# 4",
"city": "NORWALK",
"state": "CT",
"postal_code": "06851",
"telephone_number": "203-857-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 MAIN ST",
"address_2": "# 4",
"city": "NORWALK",
"state": "CT",
"postal_code": "068513530",
"telephone_number": "203-857-1854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN DENTAL CT PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-08",
"last_updated": "2016-12-08",
"status": "A",
"authorized_official_last_name": "AMINOV",
"authorized_official_first_name": "YULIAN",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "212-203-1611",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "010859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008042136",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.