NPIMap

Organization Active NPI

Jeanne P. Strathearn, DDS, PC

Doing business as North Main Dental

  • General Practice Dentistry
  • West Hartford, CT
National Provider Identifier
1851720130
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6909 Issued in CT
Legal business name
JEANNE P. STRATHEARN, DDS, PC
Doing business as
North Main Dental
Practice address
12 N Main St
Suite 101
West Hartford, CT 06107-1932
Phone
(860) 236-4249
Fax
(860) 231-1571
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Dr. Jeanne Pinzel Strathearn, DDS
Title
Owner
Phone
(860) 236-4249

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6909 CT Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 010767 CT

Addresses

Primary practice location

12 N Main St
Suite 101
West Hartford, CT 06107-1932

Mailing address

12 N Main St
Suite 101
West Hartford, CT 06107-1932
Phone (860) 236-4249

Other identifiers 2

IdentifierTypeStateIssuer
004011136MedicaidCT
002069096MedicaidCT

Other names 1

  • North Main Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jeanne P Strathearn DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 N Main St
Ste 101
West Hartford, CT 06107
Phone (860) 236-4249

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1851720130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071932",
            "telephone_number": "860-236-4249",
            "fax_number": "860-231-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N MAIN ST",
            "address_2": "SUITE 101",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071932",
            "telephone_number": "860-236-4249",
            "fax_number": "860-231-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE P. STRATHEARN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "STRATHEARN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "PINZEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-236-4249",
        "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": "6909",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002069096",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Main Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.