Organization Active NPI

Dental Care Orthodontist

  • General Practice Dentistry
  • Stamford, CT
National Provider Identifier
1750976536
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL CARE ORTHODONTIST
Doing business as
Dental Care Orthodontist
Practice address
1500 Summer St Ste 2
Stamford, CT 06905-5126
Phone
(203) 324-6171
Fax
(203) 348-5392
NPI assigned
Mar 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Authorized official

Name
Mrs. Jacqueline Mercado
Title
Office Manager
Phone
(203) 979-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1500 Summer St Ste 2
Stamford, CT 06905-5126

Mailing address

1500 Summer St Ste 2
Stamford, CT 06905-5126
Phone (203) 324-6171

Other names 1

  • Dental Care Orthodontist Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connecticut Direct

National Provider Directory

National Provider Directory

Locations

1500 Summer St
Fl 2
Stamford, CT 06905
Phone (203) 324-6171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1750976536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SUMMER ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055126",
            "telephone_number": "203-324-6171",
            "fax_number": "203-348-5392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SUMMER ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055126",
            "telephone_number": "203-324-6171",
            "fax_number": "203-348-5392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE ORTHODONTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-979-9003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connecticut",
            "affiliation": "N",
            "endpointDescription": "stamford",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "ortho",
            "address_1": "1500 Summer St Ste 2",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069055126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dental Care Orthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.