Organization Active NPI

Ronald B Herriott DMD PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bristol, CT
National Provider Identifier
1861762635
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
004732 Issued in CT
Legal business name
RONALD B HERRIOTT DMD PC
Practice address
259 Farmington Ave
Bristol, CT 06010-3969
Phone
(860) 583-6549
Fax
(860) 528-1547
NPI assigned
Jan 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Authorized official

Name
Lonnie Lagasse
Title
Office Manager
Phone
(860) 523-6549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 004732 CT Primary

Addresses

Primary practice location

259 Farmington Ave
Bristol, CT 06010-3969

Mailing address

259 Farmington Ave
Bristol, CT 06010-3969
Phone (860) 583-6549

National Provider Directory

National Provider Directory

Locations

259 Farmington Ave
Bristol, CT 06010
Phone (860) 583-6549

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1861762635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103969",
            "telephone_number": "860-583-6549",
            "fax_number": "860-528-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 FARMINGTON AVE",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060103969",
            "telephone_number": "860-583-6549",
            "fax_number": "860-528-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B HERRIOTT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "LAGASSE",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-523-6549"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CT",
            "license": "004732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.