Active NPI
Tracey Andrews, RDH
- Dental Hygienist
- Stamford, CT
National Provider Identifier
1922080746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 004046
- Practice address
- 587 Elm St
Stamford, CT 06902-5113 - Phone
- (203) 969-0802
- Fax
- (203) 326-2990
- NPI assigned
- Nov 17, 2005
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 004046 | CT | Primary |
Addresses
Primary practice location
587 Elm St
Stamford, CT 06902-5113
Mailing address
635 Main St
Attn: Credentialing Department
Middletown, CT 06457-2718
Phone (860) 347-6971
Other names 1
- Tracey Johnson
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 |
|---|---|---|---|
| 004046 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1922080746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 MAIN ST",
"address_2": "ATTN: CREDENTIALING DEPARTMENT",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064572718",
"telephone_number": "860-347-6971",
"fax_number": "860-638-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 ELM ST",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069025113",
"telephone_number": "203-969-0802",
"fax_number": "203-326-2990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "TRACEY",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CT",
"license": "004046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACEY",
"last_name": "JOHNSON",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.