NPIMap

Organization Active NPI

Bridgeport Dental Care, LLC

  • General Practice Dentistry
  • Bridgeport, CT
National Provider Identifier
1861789034
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9785 Issued in CT
Legal business name
BRIDGEPORT DENTAL CARE, LLC
Practice address
2417 E Main St
Bridgeport, CT 06610-1802
Phone
(860) 342-4141
Fax
(860) 342-1284
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Authorized official

Name
Vipul Patel, DMD
Title
Owner
Phone
(860) 342-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 9785 CT Primary

Addresses

Primary practice location

2417 E Main St
Bridgeport, CT 06610-1802

Mailing address

553 Portland Cobalt Rd
Portland, CT 06480-1968
Phone (860) 342-4141

Other names 1

  • Bridgeport Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2417 E Main St
Bridgeport, CT 06610
Phone (475) 282-4500

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1861789034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 PORTLAND COBALT RD",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801968",
            "telephone_number": "860-342-4141",
            "fax_number": "860-342-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 E MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066101802",
            "telephone_number": "860-342-4141",
            "fax_number": "860-342-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT DENTAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIPUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-342-4141",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "9785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.