West Avenue Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10089 Issued in CT

Legal business name

WEST AVENUE DENTAL PC

Practice address

520 West Ave
Norwalk, CT 06850-4034

Phone

(203) 939-1460

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hrishikesh Gogate, DDS

Title

President

Phone

(203) 939-1460

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1851610869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504034",
            "telephone_number": "203-939-1460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 WEST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068504034",
            "telephone_number": "203-939-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST AVENUE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "GOGATE",
        "authorized_official_first_name": "HRISHIKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-939-1460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851610869",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Norwalk, CT
• Providers in Norwalk, CT by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.