Active NPI
Daniela Marinescu, D.D.S.
- Endodontics
- Madison, CT
National Provider Identifier
1740403369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 009470
- Practice address
- 1291 Boston Post Rd
Suite 103
Madison, CT 06443-3476 - Phone
- (203) 245-0409
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 009470 | CT | Primary |
Addresses
Primary practice location
1291 Boston Post Rd
Suite 103
Madison, CT 06443-3476
Mailing address
1291 Boston Post Rd
Suite 103
Madison, CT 06443-3476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236122 | Medicaid | CT |
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 |
|---|---|---|---|
| 009470 | CT | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1740403369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1291 BOSTON POST RD",
"address_2": "SUITE 103",
"city": "MADISON",
"state": "CT",
"postal_code": "064433476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1291 BOSTON POST RD",
"address_2": "SUITE 103",
"city": "MADISON",
"state": "CT",
"postal_code": "064433476",
"telephone_number": "203-245-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINESCU",
"first_name": "DANIELA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CT",
"license": "009470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236122",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.