Stratford Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9802 Issued in CT

Legal business name

STRATFORD ORTHODONTICS

Practice address

2499 Main St
Stratford, CT 06615-5843

Phone

(203) 375-8332

NPI assigned

Jul 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shyam Desai, DMDNPI 1922271550

Title

Orthodontist

Phone

(203) 374-1911

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shyam Desai, D.M.D

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bridgeport, CT
  • NPI 1922271550
  Authorized official Same address or phone

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1699228510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2499 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155843",
            "telephone_number": "203-375-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155843",
            "telephone_number": "203-375-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "203-374-1911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "9802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stratford Community Services
• Stratford Dental Care PC
• Stratford Eyecare Associates, L.L.C.
• Stratford Family Dental PC
• Stratford Markets LLC (Shoprite Pharmacy)
• Stratford Orthodontics
• Stratford Pediatric Associates, P.C.
• Stratford Pediatrics, Inc.
• Stratford Smiles, PLLC
• Stratford Visiting Nurse Association, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Stratford, CT
• Providers in Stratford, CT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.