Sumit Moradia

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11650 Issued in CT

Practice address

35 Talcottville Rd
Vernon, CT 06066-5261

Phone

(860) 896-9000

NPI assigned

Jul 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smile Studio of Harleysville

  • Dental Clinic/Center
  • Harleysville, PA
  • NPI 1508621541
  NPD Authorized official
• SP Dental Celebrations PC

  dba Skippack Implant & Family Dentistry

  • Dental Clinic/Center
  • Skippack, PA
  • NPI 1619755675
  NPD Authorized official

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

{
    "created_epoch": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467590400000",
    "number": "1760834618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HARTFORD TPKE",
            "address_2": "# 601",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOTTVILLE RD",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "860-896-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADIA",
        "first_name": "SUMIT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-04",
        "last_updated": "2016-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Quinn Mitchell, PA
• Mohamed Mohamed, RPH
• Ashley Monahan, DPT
• Manuel Montouliu-Espinosa
• Stephanie Renee Montstream, PT, DPT
• Robin Morrow, M.ED.,BCBA
• Mothers Assist Elderly LLC
• Meagan E Mullen, MA
• Myeyedr Optometry of Connecticut, LLC (MyEyeDr.)
• Amer Nabil, PMHNP

• General Practice Dentistry in Vernon, CT
• Providers in Vernon, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.