Active NPI
Irene Maturo, RDH
- Dental Hygienist
- New Haven, CT
National Provider Identifier
1649626300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 08320
- Practice address
- 50 Grand Ave
New Haven, CT 06513-3949 - Phone
- (203) 974-0121
- NPI assigned
- May 11, 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 | 08320 | CT | Primary |
Addresses
Primary practice location
50 Grand Ave
New Haven, CT 06513-3949
Mailing address
374 Grand Ave
New Haven, CT 06513-3733
Phone (203) 777-7411
Other practice location 1
80 Phoenix Ave
Suite 201
Waterbury, CT 06702-1418
Phone (203) 756-8021
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08320 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1649626300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 GRAND AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065133733",
"telephone_number": "203-777-7411",
"fax_number": "203-597-8860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 GRAND AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065133949",
"telephone_number": "203-974-0121"
}
],
"practiceLocations": [
{
"address_1": "80 Phoenix Ave",
"address_2": "Suite 201",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067021418",
"country_code": "US",
"telephone_number": "203-756-8021",
"fax_number": "203-596-9038",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MATURO",
"first_name": "IRENE",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-11",
"last_updated": "2022-08-31",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "08320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.