NPIMap

Organization Active NPI

State of Connecitut Health Center

  • Pediatrics Physician
  • Farmington, CT
National Provider Identifier
1649452947
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
STATE OF CONNECITUT HEALTH CENTER
Practice address
263 Farmington Ave
Human Genetics Associates
Farmington, CT 06030-0001
Phone
(860) 679-7503
Fax
(860) 679-1610
NPI assigned
Nov 29, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF CONNECITUT HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Denis C Lafreniere, MD
Title
Medical Director
Phone
(860) 679-7503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X CT Primary

Addresses

Primary practice location

263 Farmington Ave
Human Genetics Associates
Farmington, CT 06030-0001

Mailing address

263 Farmington Ave
Provider Enrollment - Dowling South
Farmington, CT 06030-2212
Phone (860) 679-7503

Other names 1

  • Genetics Other name

National Provider Directory

National Provider Directory
Tax ID family
School of Medicine28 organizations share this tax ID, including this one
Part of
School of Medicine

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649452947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "PROVIDER ENROLLMENT - DOWLING SOUTH",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302212",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "HUMAN GENETICS ASSOCIATES",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-7503",
            "fax_number": "860-679-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CONNECITUT HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF CONNECITUT HEALTH CENTER",
        "enumeration_date": "2007-11-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LAFRENIERE",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "860-679-7503",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genetics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jul 21, 2022; 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.