Organization Active NPI

First Impressions Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairfield, CT
National Provider Identifier
1801287768
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
009425 Issued in CT
Legal business name
FIRST IMPRESSIONS ORTHODONTICS
Practice address
1476 Post Rd
Fairfield, CT 06824-5937
Phone
(203) 292-9594
Fax
(203) 292-9596
NPI assigned
Feb 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Amy Paundlay
Title
Practice Administrator
Phone
(203) 292-9594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 009425 CT Primary

Addresses

Primary practice location

1476 Post Rd
Fairfield, CT 06824-5937

Mailing address

1476 Post Rd
Fairfield, CT 06824-5937
Phone (203) 292-9594

Other identifiers 2

IdentifierTypeStateIssuer
1881084002OtherCTNPI
1568692663OtherCTNPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1801287768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1476 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245937",
            "telephone_number": "203-292-9594",
            "fax_number": "203-292-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1476 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245937",
            "telephone_number": "203-292-9594",
            "fax_number": "203-292-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST IMPRESSIONS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "PAUNDLAY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-292-9594"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "009425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881084002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568692663",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.