Marissa Ruggiero, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13694 Issued in CT

Practice address

32 Church Hill Rd Ste 201
Newtown, CT 06470-1648

Phone

(860) 935-6479

NPI assigned

Apr 5, 2022

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1912648742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 PALMER AVE APT 303",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383119",
            "telephone_number": "914-227-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHURCH HILL RD STE 201",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701648",
            "telephone_number": "860-935-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "MARISSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "13694",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "13416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger a Moore Optometrist
• Beth Rosen, MS, RD, CDN
• Cheryl A Rosenthal, APRN
• Barry Rubinson, SLP
• Katie Rudzenski, DO
• Tiffany Rydz, APRN
• Elena Sabol
• Aimee Dos Santos, LCSW
• Andrea Leigh Schear, LCSW
• Della Schmid, D.C.

• Pediatric Dentistry in Newtown, CT
• Providers in Newtown, CT by specialty
• Pediatric Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.