NPIMap

Organization Active NPI

Fairfield County Implants & Periodontics, PC

  • Periodontics
  • Fairfield, CT
National Provider Identifier
1952556797
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
6454 Issued in CT
Legal business name
FAIRFIELD COUNTY IMPLANTS & PERIODONTICS, PC
Practice address
1047 Old Post Rd
Fairfield, CT 06824-5906
Phone
(203) 254-2006
Fax
(203) 254-9201
NPI assigned
Nov 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Ms. Carole Brown Sonick
Title
Practice Administrator
Phone
(203) 254-2006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 6454 CT Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 9583 CT

Addresses

Primary practice location

1047 Old Post Rd
Fairfield, CT 06824-5906

Mailing address

1047 Old Post Rd
Fairfield, CT 06824-5906
Phone (203) 254-2006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1952556797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 OLD POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245906",
            "telephone_number": "203-254-2006",
            "fax_number": "203-254-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 OLD POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245906",
            "telephone_number": "203-254-2006",
            "fax_number": "203-254-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD COUNTY IMPLANTS & PERIODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "SONICK",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "BROWN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-254-2006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "6454",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CT",
            "license": "9583",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.