Organization Active NPI

C. Scott Buonanno DMD & Associates PC

  • General Practice Dentistry
  • Kensington, CT
National Provider Identifier
1720201569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
007776 Issued in CT
Legal business name
C. SCOTT BUONANNO DMD & ASSOCIATES PC
Practice address
1105 Farmington Ave
Kensington, CT 06037-2241
Phone
(860) 828-4189
Fax
(860) 828-4180
NPI assigned
Apr 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Constantine Scott Buonanno, DMDNPI 1942423785
Title
President
Phone
(860) 828-4189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 007776 CT Primary

Addresses

Primary practice location

1105 Farmington Ave
Kensington, CT 06037-2241

Mailing address

1105 Farmington Ave
Kensington, CT 06037-2241
Phone (860) 828-4189

National Provider Directory

National Provider Directory

Locations

1105 Farmington Ave
Kensington, CT 06037
Phone (860) 818-4189

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720201569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 FARMINGTON AVE",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060372241",
            "telephone_number": "860-828-4189",
            "fax_number": "860-828-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FARMINGTON AVE",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060372241",
            "telephone_number": "860-828-4189",
            "fax_number": "860-828-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. SCOTT BUONANNO DMD & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUONANNO",
        "authorized_official_first_name": "CONSTANTINE",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-828-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.