Disability Determination Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

012934 Issued in CT

Legal business name

DISABILITY DETERMINATION SERVICES

Practice address

309 Wawarme Ave
Hartford, CT 06114-1509

Phone

(860) 466-6302

NPI assigned

Mar 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kurshid Khan, M.D.

Title

Medical Consultant

Phone

(860) 466-6302

Specialties & licenses 1

Addresses

Other names 1

• Department of Rehabilitative Services Other name

Locations

Practitioners 2

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

• Barbara Fisher Coughlin, M.D.

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1760776165
  NPD (past)
• Carol Ruth Honeychurch, M.D.

  • Neurology Physician
  • Hartford, CT
  • NPI 1902088446
  NPD (past)

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1780958884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 WESTWOOD DR",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521016",
            "telephone_number": "860-223-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WAWARME AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141509",
            "telephone_number": "860-466-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY DETERMINATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KURSHID",
        "authorized_official_title_or_position": "MEDICAL CONSULTANT",
        "authorized_official_telephone_number": "860-466-6302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "012934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Rehabilitative Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Luisa Dinino-Jones
• Morgan R Dinoia
• Latasha Dionne, OTR/L
• Brittany Diorio
• Frances Elena Dipini, MSW
• Paulette Elaine Dispagna, LMHC, LPC
• Nicholas John Distefano, D.M.D.
• Daniel Diver, MD
• Thomas V Divinagracia, M.D.
• Divine Health Home Care

• Primary Care Clinic/Center in Hartford, CT
• Providers in Hartford, CT by specialty
• Primary Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.