Active NPI
Tracy Leeann Motta, REGISTERED DENTAL HY
- Dental Hygienist
- Plainville, CT
National Provider Identifier
1689784787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 006199
- Practice address
- 359 Farmington Ave
Central Connecticut Dental Group
Plainville, CT 06062-1322 - Phone
- (860) 747-5761
- Fax
- (860) 747-6964
- NPI assigned
- Aug 30, 2006
- 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 | 006199 | CT | Primary |
Addresses
Primary practice location
359 Farmington Ave
Central Connecticut Dental Group
Plainville, CT 06062-1322
Mailing address
69 Eastbrook Terrace
Berlin, CT 06037-2287
Phone (860) 829-2724
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 |
|---|---|---|---|
| 006199 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689784787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 EASTBROOK TERRACE",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372287",
"telephone_number": "860-829-2724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "359 FARMINGTON AVE",
"address_2": "CENTRAL CONNECTICUT DENTAL GROUP",
"city": "PLAINVILLE",
"state": "CT",
"postal_code": "060621322",
"telephone_number": "860-747-5761",
"fax_number": "860-747-6964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTA",
"first_name": "TRACY",
"middle_name": "LEEANN",
"name_prefix": "Mrs.",
"credential": "REGISTERED DENTAL HY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "006199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainville, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.