Active NPI
Louis Allan Mandino, DDS
- Dentist
- New Fairfield, CT
National Provider Identifier
1831194067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4106
- Practice address
- 51 Gillotti Rd
New Fairfield, CT 06812-2514 - Phone
- (203) 746-2416
- Fax
- (203) 746-1551
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4106 | CT | Primary |
Addresses
Primary practice location
51 Gillotti Rd
New Fairfield, CT 06812-2514
Mailing address
51 Gillotti Rd
New Fairfield, CT 06812-2514
Phone (203) 746-2416
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4106 | CT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831194067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 GILLOTTI RD",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068122514",
"telephone_number": "203-746-2416",
"fax_number": "203-746-1551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 GILLOTTI RD",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068122514",
"telephone_number": "203-746-2416",
"fax_number": "203-746-1551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDINO",
"first_name": "LOUIS",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "4106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Fairfield, 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.