Organization Active NPI

Gus J Pappas Theodore J Pappas

Doing business as Pappas Family Dentistry

  • General Practice Dentistry
  • Enfield, CT
National Provider Identifier
1750497699
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8885 Issued in CT
Legal business name
GUS J PAPPAS THEODORE J PAPPAS
Doing business as
Pappas Family Dentistry
Practice address
1 Riverview St
Enfield, CT 06082
Phone
(860) 745-0662
Fax
(860) 741-2550
NPI assigned
Aug 22, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Theodore & Gus J Pappas, DDS
Title
Partner
Phone
(860) 745-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8885 CT Primary

Addresses

Primary practice location

1 Riverview St
Enfield, CT 06082

Mailing address

1 Riverview St
Enfield, CT 06082
Phone (860) 745-0662

Other names 1

  • Pappas Family Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1750497699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-745-0662",
            "fax_number": "860-741-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERVIEW ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-745-0662",
            "fax_number": "860-741-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUS J PAPPAS THEODORE J PAPPAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "THEODORE & GUS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-745-0662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pappas Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.