NPIMap

Organization Active NPI

Nicholas J Borrello DDS PC

  • General Practice Dentistry
  • Bethel, CT
National Provider Identifier
1861609646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
003634 Issued in CT
Legal business name
NICHOLAS J BORRELLO DDS PC
Practice address
76 Stony Hill Rd
Bethel, CT 06801-3037
Phone
(203) 744-0033
Fax
(203) 744-2118
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nicholas J Borrello, DDSNPI 1730121112
Title
Owner
Phone
(203) 744-0033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 003634 CT Primary

Addresses

Primary practice location

76 Stony Hill Rd
Bethel, CT 06801-3037

Mailing address

Stony Hill Dental Care
76 Stony Hill Road
Bethel, CT 06801-3037
Phone (203) 744-0033

Other names 1

  • Stony Hill Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

76 Stony Hill Rd
Bethel, CT 06801
Phone (203) 744-0033

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861609646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY HILL DENTAL CARE",
            "address_2": "76 STONY HILL ROAD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013037",
            "telephone_number": "203-744-0033",
            "fax_number": "203-744-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STONY HILL RD",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068013037",
            "telephone_number": "203-744-0033",
            "fax_number": "203-744-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS J BORRELLO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORRELLO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-744-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "003634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stony Hill Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.