Organization Active NPI

Hamden Dixwell Family Dental

  • Dental Clinic/Center
  • Hamden, CT
National Provider Identifier
1760021117
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HAMDEN DIXWELL FAMILY DENTAL
Practice address
2300 Dixwell Ave
Hamden, CT 06514-2108
Phone
(508) 620-4563
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Authorized official

Name
Sheila Champagne
Title
Account Managere
Phone
(508) 620-4563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2300 Dixwell Ave
Hamden, CT 06514-2108

Mailing address

945 Concord St Ste 230
Framingham, MA 01701-4613
Phone (508) 620-4563

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577923200000",
    "number": "1760021117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 CONCORD ST STE 230",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017014613",
            "telephone_number": "508-620-4563",
            "fax_number": "508-297-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065142108",
            "telephone_number": "508-620-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMDEN DIXWELL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "ACCOUNT MANAGERE",
        "authorized_official_telephone_number": "508-620-4563"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.