North Avenue Advanced Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

NORTH AVENUE ADVANCED DENTAL CENTER

Practice address

2260 North Ave
Bridgeport, CT 06604-2413

Phone

(203) 853-2732

Fax

(203) 612-9781

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Luis M Brea, DDSNPI 1831359629

Title

Owner

Phone

(203) 853-2732

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Luis Manuel Brea Jr.

  • General Practice Dentistry
  • Norwalk, CT
  • NPI 1831359629
  NPD (past) Authorized official
• Jeremy F Bell, D.D.S.

  • Dentist
  • Richmond, KY
  • NPI 1063728285
  NPD (past)

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1780930263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 NORTH AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066042413",
            "telephone_number": "203-853-2732",
            "fax_number": "203-612-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 NORTH AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066042413",
            "telephone_number": "203-853-2732",
            "fax_number": "203-612-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AVENUE ADVANCED DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "BREA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-853-2732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwabena Sefah Nketiah Sarpong, MBCHB
• No More Quarrels Psychotherapy, LLC
• Daniel Noccioli, PA-C
• Christopher Nolan, CRNA
• Norja E. Cunningham, LMFT, Art Trained, LLC
• North End Dental Associates, PC
• North End Medical Group LLC
• Mary L North, CRNA
• Northbridge Health Care Center, Inc.
• Northbridge Health Care Center, Inc.

• General Practice Dentistry in Bridgeport, CT
• Providers in Bridgeport, 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 Aug 2, 2012; 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.