Organization Active NPI

Goldstar Family Dentistry

  • Dental Clinic/Center
  • Groton, CT
National Provider Identifier
1700542347
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GOLDSTAR FAMILY DENTISTRY
Practice address
489 Gold Star Hwy Ste 201
Groton, CT 06340-6227
Phone
(860) 326-5313
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Rose M Aubin
Title
Management
Phone
(860) 326-5313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

489 Gold Star Hwy Ste 201
Groton, CT 06340-6227

Mailing address

489 Gold Star Hwy Ste 201
Groton, CT 06340-6227
Phone (860) 326-5313

Other names 1

  • Goldstar Family Dentistry Other name

National Provider Directory

National Provider Directory

Locations

489 Route 184
Ste 201
Groton, CT 06340
Phone (860) 326-5313

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1700542347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 GOLD STAR HWY STE 201",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406227",
            "telephone_number": "860-326-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 GOLD STAR HWY STE 201",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406227",
            "telephone_number": "860-326-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDSTAR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "AUBIN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "860-326-5313"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goldstar Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.