NPIMap

Organization Active NPI

Sono Dental Group, LLC

  • Pediatric Dentistry
  • Norwalk, CT
National Provider Identifier
1831483312
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SONO DENTAL GROUP, LLC
Practice address
9A Washington St
Norwalk, CT 06854-2704
Phone
(860) 810-4821
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Tae Chul Ho, DDS
Title
Owner
Phone
(860) 342-4141

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X CT
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X CT Primary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X

Addresses

Primary practice location

9A Washington St
Norwalk, CT 06854-2704

Mailing address

553 Portland Cobalt Rd
Portland, CT 06480-1968
Phone (860) 342-4141

Other identifiers 1

IdentifierTypeStateIssuer
008002144MedicaidCT

Other names 1

  • Sono Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

9A Washington St
Norwalk, CT 06854
Phone (203) 810-4821

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1831483312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 PORTLAND COBALT RD",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801968",
            "telephone_number": "860-342-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9A WASHINGTON ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542704",
            "telephone_number": "860-810-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONO DENTAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "TAE",
        "authorized_official_middle_name": "CHUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-342-4141",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008002144",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sono Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.