NPIMap

Organization Active NPI

Central CT. Pediatric Dentistry

  • Pediatric Dentistry
  • Middletown, CT
National Provider Identifier
1871747980
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
5145 Issued in CT
Legal business name
CENTRAL CT. PEDIATRIC DENTISTRY
Practice address
828 Newfield St
Middletown, CT 06457-1857
Phone
(860) 613-0553
NPI assigned
Nov 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Robert R. Gatehouse, DDSNPI 1396736567
Title
Partner
Phone
(860) 613-0553

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 5145 CT Primary

Addresses

Primary practice location

828 Newfield St
Middletown, CT 06457-1857

Mailing address

828 Newfield St
Middletown, CT 06457-1857
Phone (860) 613-0553

National Provider Directory

National Provider Directory

Locations

828 Newfield St
Middletown, CT 06457
Phone (860) 613-0553

Practitioners & affiliated clinicians

Practitioners 4

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": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1871747980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 NEWFIELD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571857",
            "telephone_number": "860-613-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 NEWFIELD ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571857",
            "telephone_number": "860-613-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CT. PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "GATEHOUSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-613-0553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "5145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.