Active NPI
Ashley Pacelli
- Dentist
- New Canaan, CT
National Provider Identifier
1902433253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13016
- Practice address
- 72 Park St
New Canaan, CT 06840-4532 - Phone
- (203) 966-5313
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13016 | CT | Primary |
Addresses
Primary practice location
72 Park St
New Canaan, CT 06840-4532
Mailing address
72 Park St
New Canaan, CT 06840-4532
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13016 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Canaan Dental Arts PLLC | Current | Accepting new patients |
Locations
72 Park St
New Canaan, CT 06840
Phone (203) 391-3720
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- New Canaan, CT
- NPI 1659010924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1902433253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 PARK ST",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068404532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 PARK ST",
"city": "NEW CANAAN",
"state": "CT",
"postal_code": "068404532",
"telephone_number": "203-966-5313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACELLI",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "13016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Canaan, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.