Active NPI
Anthony Onofreo, D.M.D.
- General Practice Dentistry
- Middletown, CT
National Provider Identifier
1851310023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7076
- Practice address
- 282 Main Street Ext
Middletown, CT 06457-4467 - Phone
- (860) 344-9096
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7076 | CT | Primary |
Addresses
Primary practice location
282 Main Street Ext
Middletown, CT 06457-4467
Mailing address
282 Main Street Ext
Middletown, CT 06457-4467
Phone (860) 344-9096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150701002580 | CT | Order and Referring Only - Dentist | 1951613033 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851310023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 MAIN STREET EXT",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574467",
"telephone_number": "860-344-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 MAIN STREET EXT",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574467",
"telephone_number": "860-344-9096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONOFREO",
"first_name": "ANTHONY",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "7076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middletown, CT
- Patrycja Olechniej, BSN, RN-BC
- Tiffany Simone Olayinka Olier, M.D.
- On Time RN LLC
- One Patient at a Time Companion & Homemaker LLC
- One Piece of the Puzzle, LLC
- Stanislaus Opalacz, MD
- Optimal Healthcare L.L.C.
- Oral and Maxillofacial Surgeons PC
- Oral and Maxillofacial Surgeons PC
- Oral and Maxillofacial Surgeons PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.