Organization Active NPI

Dr. Brianna Munoz, DMD, MPH, PLLC

  • Pediatric Dentistry
  • Avon, CT
National Provider Identifier
1912788464
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR. BRIANNA MUNOZ, DMD, MPH, PLLC
Practice address
34 Dale Rd Ste 108
Avon, CT 06001-3659
Phone
(860) 674-0874
Fax
(860) 674-8716
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Authorized official

Name
Dr. Brianna Munoz, DMD, MPHNPI 1518314087
Title
Pediatric Dentist
Phone
(508) 873-0597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

34 Dale Rd Ste 108
Avon, CT 06001-3659

Mailing address

10 Lise Cir
Suffield, CT 06078-1381
Phone (508) 873-0597

National Provider Directory

National Provider Directory

Locations

34 Dale Rd
Ste 108
Avon, CT 06001
Phone (860) 674-0874

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1912788464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LISE CIR",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060781381",
            "telephone_number": "508-873-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 DALE RD STE 108",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013659",
            "telephone_number": "860-674-0874",
            "fax_number": "860-674-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRIANNA MUNOZ, DMD, MPH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "BRIANNA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "508-873-0597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.