NPIMap

Organization Active NPI

Charles M Spatz

  • General Practice Dentistry
  • New Haven, CT
National Provider Identifier
1801170923
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4296 Issued in CT
Legal business name
CHARLES M SPATZ
Practice address
1574 Chapel St
New Haven, CT 06511-4205
Phone
(203) 865-1480
Fax
(203) 865-0290
NPI assigned
Oct 7, 2011
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Dr. Charles M Spatz, DMDNPI 1972642023
Title
Dentist
Phone
(203) 865-1480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4296 CT
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8938 CT
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 4296 CT Primary

Addresses

Primary practice location

1574 Chapel St
New Haven, CT 06511-4205

Mailing address

1574 Chapel St
New Haven, CT 06511-4205
Phone (203) 865-1480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1801170923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114205",
            "telephone_number": "203-865-1480",
            "fax_number": "203-865-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 CHAPEL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114205",
            "telephone_number": "203-865-1480",
            "fax_number": "203-865-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES M SPATZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "SPATZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-865-1480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "4296",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "8938",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.