Westfarms Mall Dental L.L.P

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

008698 Issued in CT

Legal business name

WESTFARMS MALL DENTAL L.L.P

Practice address

213 Westfarms Mall
Suite 204a
Farmington, CT 06032-2615

Phone

(860) 676-2828

NPI assigned

Sep 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rostislav Krasnov

Title

Owner

Phone

(860) 676-2828

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1841486610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WESTFARMS MALL",
            "address_2": "SUITE 204A",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322633",
            "telephone_number": "860-676-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WESTFARMS MALL",
            "address_2": "SUITE 204A",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322615",
            "telephone_number": "860-676-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTFARMS MALL DENTAL L.L.P",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "KRASNOV",
        "authorized_official_first_name": "ROSTISLAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-676-2828",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "008698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellspring Psychological Services, LLC
• Emily Weng, DO
• Samantha Wesoly, MS
• Alexandre West, MD
• Westfarms Eye Associates PC
• Gillian Weston, MD
• Jennifer Wethje, APRN, FNP
• Rachel Wetstone, MD
• Brett A Weyman, D.D.S., M.D.
• Drew Michael Weyman, DMD, MD

• General Practice Dentistry in Farmington, CT
• Providers in Farmington, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.