Organization Active NPI

Myology Orofacial Therapy LLC

  • Specialist
  • Wilton, CT
National Provider Identifier
1689182842
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MYOLOGY OROFACIAL THERAPY LLC
Practice address
44 Old Ridgefield Rd
Wilton, CT 06897-3055
Phone
(203) 451-3780
NPI assigned
Jan 22, 2018
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Mrs. Susan Marie Quaranta, RDH, MS, COM
Title
Certified Orofacial Myologist
Phone
(203) 451-3780

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 005750 CT
Specialist 174400000X Primary

Addresses

Primary practice location

44 Old Ridgefield Rd
Wilton, CT 06897-3055

Mailing address

250 Thunder Lake Rd
Wilton, CT 06897-1339
Phone (203) 451-3780

National Provider Directory

National Provider Directory

Locations

71 East Ave
#Q1
Norwalk, CT 06851

44 Old Ridgefield Rd
Wilton, CT 06897
Phone (203) 451-3780

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1689182842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 THUNDER LAKE RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068971339",
            "telephone_number": "203-451-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973055",
            "telephone_number": "203-451-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOLOGY OROFACIAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2021-08-11",
        "certification_date": "2021-02-14",
        "status": "A",
        "authorized_official_last_name": "QUARANTA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CERTIFIED OROFACIAL MYOLOGIST",
        "authorized_official_telephone_number": "203-451-3780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH, MS, COM"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "005750",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.