Hartford Family Dentist LLC

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

HARTFORD FAMILY DENTIST LLC

Practice address

778 Broad St
Hartford, CT 06106-4689

Phone

(860) 525-7459

NPI assigned

Sep 12, 2023

Last updated

Sep 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammadreza Ghorbaniparvar, DDSNPI 1972124220

Title

Member

Phone

(607) 206-8462

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Mohammadreza Ghorbaniparvar

  • Dentist
  • Stamford, CT
  • NPI 1972124220
  NPD Authorized official
• Chitrakala Jagadeesan, DDS

  • General Practice Dentistry
  • Hartford, CT
  • NPI 1962684415
  NPD (past)
• Ronald H Preis V, DMD

  • General Practice Dentistry
  • Hartford, CT
  • NPI 1366548380
  NPD (past)

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1902683071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 STRAWBERRY HILL AVE STE 9",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022632",
            "telephone_number": "607-206-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 BROAD ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061064689",
            "telephone_number": "860-525-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD FAMILY DENTIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "GHORBANIPARVAR",
        "authorized_official_first_name": "MOHAMMADREZA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "607-206-8462",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hartford Dispensary
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• Hartford Dispesary
• Hartford Elderly Services, LLC
• Hartford Eye Wellness LLC
• Hartford Fertility & Reproductive Endocrinology, LLC
• Hartford Gay & Lesbian Health Collective
• Hartford Healthcare Medical Group Specialists LLC
• Hartford Healthcare Medical Group Specialists, PLLC
• Hartford Healthcare Medical Group, Inc

• Public Health Dentistry in Hartford, CT
• Providers in Hartford, CT by specialty
• Public Health Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.