Active NPI
Cristina Louro Santos-Tomas, D.M.D.
- Pediatric Dentistry
- Newington, CT
National Provider Identifier
1760569685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9409
- Practice address
- 435 Willard Ave Unit C
Newington, CT 06111-2318 - Phone
- (860) 372-4600
- Fax
- (860) 372-4602
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 9409 | CT | Primary |
Addresses
Primary practice location
435 Willard Ave Unit C
Newington, CT 06111-2318
Mailing address
69 Olde Village Cir
Wallingford, CT 06492-4821
Phone (860) 793-7117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9409 | CT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newington Children's Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Newington, CT
- NPI 1265874036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377216000000",
"number": "1760569685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 OLDE VILLAGE CIR",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924821",
"telephone_number": "860-793-7117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 WILLARD AVE UNIT C",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061112318",
"telephone_number": "860-372-4600",
"fax_number": "860-372-4602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS-TOMAS",
"first_name": "CRISTINA",
"middle_name": "LOURO",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CT",
"license": "9409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.