Individual provider Active NPI

Derek Chenet, DDS

  • General Practice Dentistry
  • Old Saybrook, CT
National Provider Identifier
1851750426
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13664 Issued in CT
Practice address
105 Main St Ste a
Old Saybrook, CT 06475-2393
Phone
(860) 388-9774
NPI assigned
Feb 11, 2016
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23690 FL
General Practice Dentistry 1223G0001X 13664 CT Primary

Addresses

Primary practice location

105 Main St Ste a
Old Saybrook, CT 06475-2393

Mailing address

105 Main St Ste a
Old Saybrook, CT 06475-2393
Phone (860) 388-9774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 11, 2018 through Sep 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN23690FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elmwood and Main Dentistry LLC Current Accepting new patients
JGN Investments LLC Past Accepting new patients
Jairima PA General Practice PastSince Nov 8, 2025 Accepting new patients
Cedric C Chenet DDS PA General Practice PastSince Jan 26, 2020 Accepting new patients

Locations

105 Main St
Ste A
Old Saybrook, CT 06475
Phone (860) 388-9774

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1851750426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST STE A",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752393",
            "telephone_number": "860-388-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST STE A",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752393",
            "telephone_number": "860-388-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENET",
        "first_name": "DEREK",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23690",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.