NPIMap

Organization Active NPI

Frederick Daniels,DDS,Family Dentistry,LLC

  • General Practice Dentistry
  • Tolland, CT
National Provider Identifier
1881099802
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
005030 Issued in CT
Legal business name
FREDERICK DANIELS,DDS,FAMILY DENTISTRY,LLC
Practice address
12 Goose LN
Tolland, CT 06084-3400
Phone
(860) 875-6269
Fax
(860) 870-5606
NPI assigned
Nov 3, 2014
Last updated
Sep 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Dr. Frederick Daniels, DDSNPI 1902975808
Title
Dentist
Phone
(860) 875-6269

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 005030 CT Primary

Addresses

Primary practice location

12 Goose LN
Tolland, CT 06084-3400

Mailing address

12 Goose LN
Tolland, CT 06084-3400
Phone (860) 875-6269

National Provider Directory

National Provider Directory

Locations

12 Goose Ln
Tolland, CT 06084
Phone (860) 870-4632

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1881099802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GOOSE LN",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843400",
            "telephone_number": "860-875-6269",
            "fax_number": "860-870-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GOOSE LN",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060843400",
            "telephone_number": "860-875-6269",
            "fax_number": "860-870-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK DANIELS,DDS,FAMILY DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-03",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "860-875-6269",
        "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": "005030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tolland, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.