Organization Active NPI

University of Connecticut Health Center

  • Prosthodontics
  • Farmington, CT
National Provider Identifier
1952548851
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
009971 Issued in CT
Legal business name
UNIVERSITY OF CONNECTICUT HEALTH CENTER
Practice address
263 Farmington Ave
Room# L6053
Farmington, CT 06030-0001
Phone
(860) 679-8388
Fax
(860) 679-1370
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Ashley Upson-Hiney
Title
University Director
Phone
(860) 679-6216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 009971 CT Primary

Addresses

Primary practice location

263 Farmington Ave
Room# L6053
Farmington, CT 06030-0001

Mailing address

263 Farmington Ave
Room# L6053
Farmington, CT 06030-0001
Phone (860) 679-8388

Other identifiers 1

IdentifierTypeStateIssuer
404-1968MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
State of Connecticut28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

Locations

263 Farmington Ave
Rm L6053
Farmington, CT 06030
Phone (860) 679-8388

Practitioners & affiliated clinicians

Practitioners 1

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": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1952548851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "ROOM# L6053",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-8388",
            "fax_number": "860-679-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE",
            "address_2": "ROOM# L6053",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060300001",
            "telephone_number": "860-679-8388",
            "fax_number": "860-679-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CONNECTICUT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "UPSON-HINEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "UNIVERSITY DIRECTOR",
        "authorized_official_telephone_number": "860-679-6216"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CT",
            "license": "009971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404-1968",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.