Individual provider Active NPI

David Remiszewski, DMD, MDSC, FACP

  • Prosthodontics
  • Stamford, CT
National Provider Identifier
1902332265
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
12859 Issued in CT
Practice address
47 Oak St Ste 220
Stamford, CT 06905-5354
Phone
(203) 325-4700
Fax
(203) 327-7832
NPI assigned
May 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 12859 CT Primary

Addresses

Primary practice location

47 Oak St Ste 220
Stamford, CT 06905-5354

Mailing address

47 Oak St Ste 220
Stamford, CT 06905-5354
Phone (203) 325-4700

Other practice location 1

2304 Berlin Tpke
Newington, CT 06111-3204
Phone (860) 666-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816000132 CT Order and Referring Only - DentistPractitioner - Dentist 7517239247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12859CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Center LLC Past Accepting new patients
Academy Denistry Group Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1902332265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OAK ST STE 220",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055354",
            "telephone_number": "203-325-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OAK ST STE 220",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055354",
            "telephone_number": "203-325-4700",
            "fax_number": "203-327-7832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2304 Berlin Tpke",
            "address_purpose": "LOCATION",
            "city": "Newington",
            "state": "CT",
            "postal_code": "061113204",
            "country_code": "US",
            "telephone_number": "860-666-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REMISZEWSKI",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD, MDSC, FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-05",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CT",
            "license": "12859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.