Ramy Shaker Wisa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14808 Issued in CT

Practice address

246 Federal Rd Ste B11
Brookfield, CT 06804-2651

Phone

(203) 790-0111

NPI assigned

Dec 11, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1750158564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE B11",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042651",
            "telephone_number": "203-790-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD STE B11",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042651",
            "telephone_number": "203-790-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Main St",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068103009",
            "country_code": "US",
            "telephone_number": "203-790-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISA",
        "first_name": "RAMY",
        "middle_name": "SHAKER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "14808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Lee Whitehead Jr., BCBA
• Debra A Widman, MS,OTR/L
• Matthew J Wilcox
• Marion Williams, LPC
• Alison Patricia Winsor, APRN
• Women'S Counseling Center, Inc.
• Alison Zaloski, APRN
• Joseph Zannella, L.A.D.C.
• Maria Zavorokhina
• Lauren Zollman

• General Practice Dentistry in Brookfield, CT
• Providers in Brookfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.