Active NPI
Benson Monastersky, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- East Hartford, CT
National Provider Identifier
1710192570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 3759
- Practice address
- 110 Connecticut Blvd
Suite 201
East Hartford, CT 06108-3057 - Phone
- (860) 289-9397
- Fax
- (860) 528-3129
- NPI assigned
- May 14, 2007
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 3759 | CT | Primary |
Addresses
Primary practice location
110 Connecticut Blvd
Suite 201
East Hartford, CT 06108-3057
Mailing address
477 Connecticut Blvd
Suite 105
East Hartford, CT 06108-3268
Phone (860) 289-9397
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 |
|---|---|---|---|
| 3759 | CT | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710192570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 CONNECTICUT BLVD",
"address_2": "SUITE 105",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083268",
"telephone_number": "860-289-9397",
"fax_number": "860-528-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 CONNECTICUT BLVD",
"address_2": "SUITE 201",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061083057",
"telephone_number": "860-289-9397",
"fax_number": "860-528-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONASTERSKY",
"first_name": "BENSON",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CT",
"license": "3759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, 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.