Individual provider Active NPI

Joanne Maria Paiva-Borduas, DDS

  • Dentist
  • Danbury, CT
National Provider Identifier
1922039767
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
008175 Issued in CT
Practice address
289 White St
Danbury, CT 06810-6934
Phone
(203) 743-4670
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 008175 CT Primary

Addresses

Primary practice location

289 White St
Danbury, CT 06810-6934

Mailing address

289 White St
Danbury, CT 06810-6934
Phone (203) 743-4670

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150626001311 CT Order and Referring Only - General PracticePractitioner - General Practice 5597077909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008175CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922039767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WHITE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106934",
            "telephone_number": "203-743-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WHITE ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106934",
            "telephone_number": "203-743-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIVA-BORDUAS",
        "first_name": "JOANNE",
        "middle_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "008175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.