Organization Active NPI

Tepnel Lifecodes

  • Dental Laboratory
  • Stamford, CT
National Provider Identifier
1679652143
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental LaboratoryTaxonomy code 292200000X
Legal business name
TEPNEL LIFECODES
Practice address
550 West Ave
Stamford, CT 06902-6342
Phone
(203) 328-9526
Fax
(203) 328-9599
NPI assigned
Nov 3, 2006
Organization subpart
No

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
Dr. Mary C. Davis, PH.D.
Title
Vice President & General Manager
Phone
(203) 328-9526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Laboratory 292200000X Primary

Addresses

Primary practice location

550 West Ave
Stamford, CT 06902-6342

Mailing address

550 West Ave
Stamford, CT 06902-6342
Phone (203) 328-9526

National Provider Directory

National Provider Directory

Locations

550 West Ave
Stamford, CT 06902
Phone (203) 328-9526

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679652143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WEST AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026342",
            "telephone_number": "203-328-9526",
            "fax_number": "203-328-9599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WEST AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026342",
            "telephone_number": "203-328-9526",
            "fax_number": "203-328-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEPNEL LIFECODES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "VICE PRESIDENT & GENERAL MANAGER",
        "authorized_official_telephone_number": "203-328-9526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, 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.