Active NPI
Jessie Richter Stasulis, D.M.D.
- General Practice Dentistry
- West Hartford, CT
National Provider Identifier
1831350719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 009892
- Practice address
- 928 Farmington Ave
West Hartford, CT 06107-2227 - Phone
- (860) 233-7514
- Fax
- (860) 232-1069
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 009892 | CT | Primary |
Addresses
Primary practice location
928 Farmington Ave
West Hartford, CT 06107-2227
Mailing address
928 Farmington Ave
West Hartford, CT 06107-2227
Phone (860) 233-7514
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 |
|---|---|---|---|
| 009892 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1831350719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "928 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072227",
"telephone_number": "860-233-7514",
"fax_number": "860-232-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "928 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061072227",
"telephone_number": "860-233-7514",
"fax_number": "860-232-1069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASULIS",
"first_name": "JESSIE",
"middle_name": "RICHTER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "009892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
- Gladys Nyambura Stackhouse, COTA
- Stanley Fellman & Jeanne Strathearn, D.D.S.
- Stanley J Rutstein DPM
- Tyler M Stanley, A.P.R.N.
- Samuel E. Starr, MSW, LCSW
- State of Connecticut Health Center (Durable Medical Equipment & Medical Supplies)
- Ziva Stauber, MD
- Eileen Stecker, LPC
- Angela Stein, M.D.
- Neil David Stein, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.