Avon Family and Cosmetic Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010189 Issued in CT

Legal business name

AVON FAMILY AND COSMETIC DENTISTRY LLC

Practice address

39 E Main St
Avon, CT 06001-3841

Phone

(860) 830-4711

Fax

(860) 254-6956

NPI assigned

Jan 6, 2017

Last updated

Jul 31, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

MY ENFIELD DENTIST LLCAs reported in NPPES

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

Authorized official

Name

Dr. Rakesh Kumar, DDSNPI 1811184757

Title

Member

Phone

(860) 254-6955

Specialties & licenses 1

Addresses

Other names 1

• Avon Laser and Cosmetic Dentistry LLC Former legal business name

Part of

My Enfield Dentist LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• My Enfield Dentist, LLC

  dba Essel Dental

  • General Practice Dentistry
  • East Windsor, CT
  • NPI 1790004885
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rakesh Kumar, DDS

  • General Practice Dentistry
  • East Windsor, CT
  • NPI 1811184757
  NPD Authorized official
• Jerry N Rosenfeld, D.D.S.

  • General Practice Dentistry
  • Avon, CT
  • NPI 1265472245
  NPD (past)

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1861937492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST STE 3S",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013841",
            "telephone_number": "860-674-0707",
            "fax_number": "860-678-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 E MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013841",
            "telephone_number": "860-830-4711",
            "fax_number": "860-254-6956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVON FAMILY AND COSMETIC DENTISTRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY ENFIELD DENTIST LLC",
        "enumeration_date": "2017-01-06",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-254-6955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avon Laser and Cosmetic Dentistry LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Avon Chiropractic Health Center PC (Dr Joanne A. Santiago)
• Avon Convalescent Home, Inc. (Avon Health Center)
• Avon Dental Group, P.C.
• Avon Eye Associates LLC (Avon Vision Associates)
• Avon Eye Care, LLC
• Avon Family Dentistry
• Avon Family Health, LLC
• Avon Foot Care PC
• Avon Medical Professionals, LLC
• Avon Oral and Maxillofacial Surgery, LLP

• General Practice Dentistry in Avon, CT
• Providers in Avon, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.