NPIMap

Organization Active NPI

Reza Radmand DMD, a Dental Corp.

Doing business as Advanced Dentistry of Connecticut

  • General Practice Dentistry
  • Stratford, CT
National Provider Identifier
1821489279
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10264 Issued in CT
Legal business name
REZA RADMAND DMD, A DENTAL CORP.
Doing business as
Advanced Dentistry of Connecticut
Practice address
2318 Main St
Stratford, CT 06615-5966
Phone
(203) 375-1649
Fax
(203) 377-5251
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Dr. Reza Radmand, DMD
Title
Owner
Phone
(203) 375-1649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10264 CT Primary

Addresses

Primary practice location

2318 Main St
Stratford, CT 06615-5966

Mailing address

2318 Main St
Stratford, CT 06615-5966
Phone (203) 375-1649

Other names 1

  • Advanced Dentistry of Connecticut Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Dentistry of Connecticut2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1821489279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155966",
            "telephone_number": "203-375-1649",
            "fax_number": "203-377-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155966",
            "telephone_number": "203-375-1649",
            "fax_number": "203-377-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA RADMAND DMD, A DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "RADMAND",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-375-1649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Dentistry of Connecticut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.