Active NPI
Joseph Defilippo Jr., DDS
- Endodontics
- Stamford, CT
National Provider Identifier
1689757064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 005502
- Practice address
- 61 4TH St
Stamford, CT 06905-5010 - Phone
- (203) 324-2566
- Fax
- (203) 323-2958
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 005502 | CT | Primary |
Addresses
Primary practice location
61 4TH St
Stamford, CT 06905-5010
Mailing address
61 4TH St
Stamford, CT 06905-5010
Phone (203) 324-2566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160122001478 | CT | Order and Referring Only - Oral Surgery | 6800199969 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689757064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 4TH ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055010",
"telephone_number": "203-324-2566",
"fax_number": "203-323-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 4TH ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069055010",
"telephone_number": "203-324-2566",
"fax_number": "203-323-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFILIPPO",
"first_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CT",
"license": "005502",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.