Diamond Braces of Norwalk Connecticut LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

047218-1 Issued in NY

Legal business name

DIAMOND BRACES OF NORWALK CONNECTICUT LLC

Practice address

148 East Ave
Suite 3H
Norwalk, CT 06851-5721

Phone

(203) 857-1717

Fax

(718) 373-6799

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Oleg Drut, D.D.S.

Title

Owner/President

Phone

(203) 857-1717

Specialties & licenses 1

Addresses

Tax ID family

Diamond Braces of Norwalk2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diamond Braces of Norwalk

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Englewood, NJ
  • NPI 1710375498
  NPD tax ID

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1710386933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "SUITE 3H",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-857-1717",
            "fax_number": "718-373-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 EAST AVE",
            "address_2": "SUITE 3H",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515721",
            "telephone_number": "203-857-1717",
            "fax_number": "718-373-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND BRACES OF NORWALK CONNECTICUT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "DRUT",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "203-857-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "047218-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay V Desai, MD
• Alicia Desanti
• Katelyn Desantis, NP
• Devoted Dental Associates, PLLC
• Dialysis Center at Norwalk LLC (Dialysis Center at Norwalk)
• Sunaina Dias, DO
• Damaris Andrea Diaz, PA-C
• Daniela P Diaz, LMT
• Samantha Dicanio
• Casey M Dicine

• Orthodontics and Dentofacial Orthopedics Dentistry in Norwalk, CT
• Providers in Norwalk, 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 Aug 15, 2014; 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.