Organization Active NPI

Masters Dental Alliance

  • Customized Equipment (DME)
  • Norwalk, CT
National Provider Identifier
1790133445
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MASTERS DENTAL ALLIANCE
Practice address
37 North Ave
Norwalk, CT 06851-3827
Phone
(203) 853-0880
NPI assigned
Jun 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Alan Rosenthal, DMD
Title
Owner
Phone
(203) 853-0880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

37 North Ave
Norwalk, CT 06851-3827

Mailing address

37 North Ave
Norwalk, CT 06851-3827
Phone (203) 853-0880

National Provider Directory

National Provider Directory

Locations

37 North Ave
Norwalk, CT 06851
Phone (203) 845-8000

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1790133445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NORTH AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513827",
            "telephone_number": "203-853-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NORTH AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513827",
            "telephone_number": "203-853-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERS DENTAL ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "ROSENTHAL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-853-0880",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.