NPIMap

Organization Active NPI

Dental Hygiene Division

  • Dental Clinic/Center
  • Bridgeport, CT
National Provider Identifier
1932239365
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0033 Issued in CT
Legal business name
DENTAL HYGIENE DIVISION
Practice address
752 E Main St
Floor 3 Room 320
Bridgeport, CT 06608-2335
Phone
(203) 576-7441
Fax
(203) 576-8311
NPI assigned
Mar 6, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY O BRIDGEPORTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Helen O'Brien, RDH
Title
Supervisor
Phone
(203) 576-7441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 0033 CT
Dental Clinic/Center 261QD0000X 0033 CT Primary

Addresses

Primary practice location

752 E Main St
Floor 3 Room 320
Bridgeport, CT 06608-2335

Mailing address

752 E Main St
Floor 3 Room 320
Bridgeport, CT 06608-2335
Phone (203) 576-7441

Other identifiers 1

IdentifierTypeStateIssuer
004011029MedicaidCT

Other names 1

  • City of Bridgeport Health Department Other name

National Provider Directory

National Provider Directory
Tax ID family
City of Bridgeport14 organizations share this tax ID, including this one
Part of
City of Bridgeport

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

752 E Main St
Fl 3
Bridgeport, CT 06608
Phone (203) 576-7441

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1932239365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 E MAIN ST",
            "address_2": "FLOOR 3 ROOM 320",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082335",
            "telephone_number": "203-576-7441",
            "fax_number": "203-576-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 E MAIN ST",
            "address_2": "FLOOR 3 ROOM 320",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082335",
            "telephone_number": "203-576-7441",
            "fax_number": "203-576-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HYGIENE DIVISION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY O BRIDGEPORT",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "203-576-7441",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "CT",
            "license": "0033",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "0033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011029",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Bridgeport Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.