Individual provider Active NPI

Joseph Tagliarini, D.M.D.

  • General Practice Dentistry
  • New Haven, CT
National Provider Identifier
1740335629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8450 Issued in CT
Practice address
389 Orange St
New Haven, CT 06511-6406
Phone
(203) 624-5515
Fax
(203) 624-2615
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8450 CT Primary

Addresses

Primary practice location

389 Orange St
New Haven, CT 06511-6406

Mailing address

389 Orange St
New Haven, CT 06511-6406
Phone (203) 624-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212001825 CT Order and Referring Only - DentistPractitioner - Dentist 8527362482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740335629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116406",
            "telephone_number": "203-624-5515",
            "fax_number": "203-624-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116406",
            "telephone_number": "203-624-5515",
            "fax_number": "203-624-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGLIARINI",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.