Individual provider Active NPI

Carolyn J. Poeta, RDH

  • Dental Hygienist
  • Shelton, CT
National Provider Identifier
1821057357
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
005926 Issued in CT
Practice address
190 Coram Ave
Shelton, CT 06484-3347
Phone
(203) 924-4115
Fax
(203) 924-1301
NPI assigned
Mar 22, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 005926 CT Primary

Addresses

Primary practice location

190 Coram Ave
Shelton, CT 06484-3347

Mailing address

10 Lakeview Ave
Seymour, CT 06483-2925
Phone (203) 888-1463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
005926CTMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Associates of Shelton, LLP Past Accepting new patients
Dr Joseph S Madrak OD LLC PastSince Sep 2, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821057357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAKEVIEW AVE",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832925",
            "telephone_number": "203-888-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CORAM AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843347",
            "telephone_number": "203-924-4115",
            "fax_number": "203-924-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POETA",
        "first_name": "CAROLYN",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "005926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.