Active NPI
Gus J Pappas Theodore J Pappas
Doing business as Pappas Family Dentistry
- General Practice Dentistry
- Enfield, CT
National Provider Identifier
1750497699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8885
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.