Rupesh Pandey, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10989 Issued in CT

Practice address

553 Portland Cobalt Rd Ste 1
Portland, CT 06480-1981

Phone

(860) 342-4141

NPI assigned

Jul 3, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rashmi, LLC

  • General Practice Dentistry
  • Portland, CT
  • NPI 1922571942
  NPD (past) Authorized official

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1922448067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 PORTLAND COBALT RD STE 1",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801981",
            "telephone_number": "860-342-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 PORTLAND COBALT RD STE 1",
            "city": "PORTLAND",
            "state": "CT",
            "postal_code": "064801981",
            "telephone_number": "860-342-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "RUPESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-03",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "10989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis R Neumann, O.D.
• Matthew Nichols
• Sara Oconnell, MA, CCC-SLP
• Carly M Odesina, APRN
• Jennifer Owens, LAT, ATC
• Stephen P Paschall, LPC
• Vipul Anant Patel, DMD
• Michelle M Pellin, LPC
• Juliette Piazza
• Karen Pickel, PHARMD, CGP, CDP

• General Practice Dentistry in Portland, CT
• Providers in Portland, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.