NPIMap

Organization Active NPI

Farmington 1067 LLC

  • Pediatric Dentistry
  • Berlin, CT
National Provider Identifier
1831878487
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FARMINGTON 1067 LLC
Practice address
1067 Farmington Ave
Berlin, CT 06037-2244
Phone
(860) 438-6696
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Dr. Hisako Seignemartin, DDSNPI 1194004499
Title
Dentist
Phone
(860) 438-6696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1067 Farmington Ave
Berlin, CT 06037-2244

Mailing address

1067 Farmington Ave
Berlin, CT 06037-2244
Phone (860) 438-6696

Other names 1

  • Cosmic Dental World Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1831878487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 FARMINGTON AVE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372244",
            "telephone_number": "860-438-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 FARMINGTON AVE",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060372244",
            "telephone_number": "860-438-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON 1067 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "SEIGNEMARTIN",
        "authorized_official_first_name": "HISAKO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-438-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cosmic Dental World",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berlin, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.