Individual provider Active NPI

Joshua S. John, DMD

  • General Practice Dentistry
  • Waterford, CT
National Provider Identifier
1851744775
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13424 Issued in CT
Practice address
262 Boston Post Rd Unit 2
Waterford, CT 06385-2053
Phone
(860) 443-0861
Fax
(860) 443-6065
NPI assigned
Jul 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13424 CT Primary

Addresses

Primary practice location

262 Boston Post Rd Unit 2
Waterford, CT 06385-2053

Mailing address

262 Boston Post Rd Unit 2
Waterford, CT 06385-2053
Phone (860) 443-0861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13424CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients
Resolute BPW, LLC General Practice Past Accepting new patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1851744775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 BOSTON POST RD UNIT 2",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852053",
            "telephone_number": "860-443-0861",
            "fax_number": "860-443-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 BOSTON POST RD UNIT 2",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852053",
            "telephone_number": "860-443-0861",
            "fax_number": "860-443-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "JOSHUA",
        "middle_name": "S.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.