Active NPI
42 North Dental Care PLLC
Doing business as Sunrise Family Dental Care
- Dental Clinic/Center
- Waterbury, CT
National Provider Identifier
1952944340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- 42 NORTH DENTAL CARE PLLC
- Doing business as
- Sunrise Family Dental Care
- Practice address
- 160 Robbins St
Waterbury, CT 06708-2652 - Phone
- (203) 757-8855
- Fax
- (203) 757-0550
- NPI assigned
- Oct 18, 2019
- Last updated
- Jun 21, 2021
- Organization subpart
- Yes
- Parent organization
- 42 NORTH DENTAL CARE PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael A. Scialabba, DDS
- Title
- Chief Clinical Officer
- Phone
- (561) 512-2709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
160 Robbins St
Waterbury, CT 06708-2652
Mailing address
200 5TH Ave FL 3
Waltham, MA 02451-8759
Phone (781) 647-0772
Other names 1
- Sunrise Family Dental Care
National Provider Directory
National Provider Directory- Tax ID family
- 42 North Dental Care PLLC
- Part of
- 42 North Dental Care PLLC
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Windham Dental Group
- Dental Clinic/Center
- Willimantic, CT
- NPI 1205425824
-
dba Southern Connecticut Dental Group - Southbury
- Dental Clinic/Center
- Southbury, CT
- NPI 1326692385
-
dba Southern Connecticut Dental Group Ansonia
- Dental Clinic/Center
- Ansonia, CT
- NPI 1518657642
-
- Dentist
- Waltham, MA
- NPI 1366017394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1952944340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 5TH AVE FL 3",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024518759",
"telephone_number": "781-647-0772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ROBBINS ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082652",
"telephone_number": "203-757-8855",
"fax_number": "203-757-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "42 NORTH DENTAL CARE PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "42 NORTH DENTAL CARE PLLC",
"enumeration_date": "2019-10-18",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "SCIALABBA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
"authorized_official_telephone_number": "561-512-2709",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunrise Family Dental Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Sunrise Family Dental Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.