NPIMap

Organization Active NPI

Marie-Anne Denayer M.D. LLC

  • Neurology Physician
  • Southington, CT
National Provider Identifier
1740510056
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
025012 Issued in CT
Legal business name
MARIE-ANNE DENAYER M.D. LLC
Practice address
360 N Main St Ste 8
Southington, CT 06489-2503
Phone
(860) 276-3857
Fax
(860) 276-8198
NPI assigned
Jan 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Marie-Anne Denayer, M.D.NPI 1679569545
Title
Owner
Phone
(860) 276-3857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 025012 CT Primary

Addresses

Primary practice location

360 N Main St Ste 8
Southington, CT 06489-2503

Mailing address

360 N Main St Ste 8
Southington, CT 06489-2503
Phone (860) 276-3857

Other identifiers 2

IdentifierTypeStateIssuer
025012OtherCTLICENSE
130000464OtherCTMEDICARE ID

National Provider Directory

National Provider Directory

Locations

360 N Main St
Ste 8
Southington, CT 06489
Phone (860) 276-3857

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": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740510056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST STE 8",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-276-3857",
            "fax_number": "860-276-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST STE 8",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-276-3857",
            "fax_number": "860-276-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE-ANNE DENAYER M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DENAYER",
        "authorized_official_first_name": "MARIE-ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-276-3857",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "025012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "025012",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "130000464",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.