Individual provider Active NPI

Shweta Dayanand Gujaran

  • General Practice Dentistry
  • Danbury, CT
National Provider Identifier
1821449901
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11653 Issued in CT
Practice address
72 Newtown Rd
Danbury, CT 06810-6254
Phone
(516) 633-5743
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11653 CT Primary

Addresses

Primary practice location

72 Newtown Rd
Danbury, CT 06810-6254

Mailing address

11 Abbey LN
Unit 1409
Danbury, CT 06810-5125
Phone (516) 633-5743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830000023 CT Order and Referring Only - Other (Non-Physician) 7012202047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11653CTMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1821449901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ABBEY LN",
            "address_2": "UNIT 1409",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105125",
            "telephone_number": "516-633-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 NEWTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106254",
            "telephone_number": "516-633-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJARAN",
        "first_name": "SHWETA",
        "middle_name": "DAYANAND",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "11653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.