Anthony John Defilippo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13206 Issued in CT

Practice address

20-30 Beaver Rd Ste 102
Wethersfield, CT 06109-2244

Phone

(860) 721-7428

NPI assigned

Mar 24, 2020

Last updated

Sep 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dental Associates of Wethersfield, PLLC

  • General Practice Dentistry
  • Wethersfield, CT
  • NPI 1477361400
  NPD Authorized official
• Dental Associates of Wethersfield

  • General Practice Dentistry
  • Wethersfield, CT
  • NPI 1508971557
  NPD (past)

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1639706419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20-30 BEAVER RD STE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092244",
            "telephone_number": "860-721-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20-30 BEAVER RD STE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092244",
            "telephone_number": "860-721-7428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079606136",
            "country_code": "US",
            "telephone_number": "973-971-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFILIPPO",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13206",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "000000000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508971557",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla D'Angelo, D.O.
• Melissa Dacosta
• Christine H Daniels, MS, APRN, AGNP-C
• Zachary F Danssaert
• Beth Anne Dean, MS, PA-C
• James Salvatore Defilippo, DDS
• Antonella Dellaripa
• Alexandra Demosthene, LPC
• Melissa Dennis, LPC
• Dental Associates of Wethersfield

• General Practice Dentistry in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.