NPIMap

Organization Active NPI

DRS. Bencivengo & Gaudio, D.M.D.,P.C.

  • General Practice Dentistry
  • Bristol, CT
National Provider Identifier
1659589596
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4945 AND 6919 Issued in CT
Legal business name
DRS. BENCIVENGO & GAUDIO, D.M.D.,P.C.
Practice address
21 Pleasant St
Bristol, CT 06010-6254
Phone
(860) 582-8095
Fax
(860) 589-3615
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Debbie A Ciquera
Title
Office Manager
Phone
(860) 582-8095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4945 AND 6919 CT Primary

Addresses

Primary practice location

21 Pleasant St
Bristol, CT 06010-6254

Mailing address

21 Pleasant St
Bristol, CT 06010-6254
Phone (860) 582-8095

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1659589596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 PLEASANT ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106254",
            "telephone_number": "860-582-8095",
            "fax_number": "860-589-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PLEASANT ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106254",
            "telephone_number": "860-582-8095",
            "fax_number": "860-589-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BENCIVENGO & GAUDIO, D.M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "CIQUERA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-582-8095"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4945 AND 6919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.