Individual provider Active NPI

Jonathan Michael Lopresti, DDS

  • Dentist
  • Stamford, CT
National Provider Identifier
1891339743
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2.012555 Issued in CT
Practice address
75 Tresser Blvd
Stamford, CT 06901-3329
Phone
(203) 883-9945
NPI assigned
Nov 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2.012555 CT Primary

Addresses

Primary practice location

75 Tresser Blvd
Stamford, CT 06901-3329

Mailing address

98 Severna Ave
Springfield, NJ 07081-1134

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.loprestidentalgroup.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2.012555CTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1891339743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 SEVERNA AVE",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 TRESSER BLVD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013329",
            "telephone_number": "203-883-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPRESTI",
        "first_name": "JONATHAN",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "2.012555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.loprestidentalgroup.com",
            "affiliation": "N",
            "address_1": "75 Tresser Blvd",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069013329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.