Organization Active NPI

Downtown Dental Specialty Group PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bridgeport, CT
National Provider Identifier
1770482630
Registry record updated Nov 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DOWNTOWN DENTAL SPECIALTY GROUP PC
Practice address
25 Cannon St
Bridgeport, CT 06604-4214
Phone
(475) 344-4346
Fax
(475) 344-4366
NPI assigned
Nov 5, 2026
Last updated
Nov 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2026

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

Authorized official

Name
Dr. Yulian Aminov, DDS
Title
Owner
Phone
(212) 203-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

25 Cannon St
Bridgeport, CT 06604-4214

Mailing address

1023 Main St
Bridgeport, CT 06604-4221
Phone (212) 203-1611

NPI Registry JSON

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

{
    "created_epoch": "1793836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793836800000",
    "number": "1770482630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044221",
            "telephone_number": "212-203-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CANNON ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044214",
            "telephone_number": "475-344-4346",
            "fax_number": "475-344-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL SPECIALTY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-05",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "YULIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-203-1611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.