Stanley Pizzitola, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12402 Issued in CT

Practice address

1888 Main St
Hartford, CT 06120-2357

Phone

(860) 768-9052

NPI assigned

Jul 11, 2005

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PR

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

State licenses

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1962400309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143922",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006143922",
            "telephone_number": "939-630-0221",
            "fax_number": "787-815-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061202357",
            "telephone_number": "860-768-9052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Principal",
            "address_2": "Jarealito 76",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "00612",
            "country_code": "US",
            "telephone_number": "787-815-5172",
            "fax_number": "787-815-5172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIZZITOLA",
        "first_name": "STANLEY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "001751",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "12402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "206925",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "41609",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMC",
            "identifier": "5831",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Steven Remo Pirola, PA
• Jon R Pirrello, M. D.
• Stacey Diana Piscottano, LMSW
• Nellie Piurkowski, LCSW
• Planned Parenthood of CT, Inc
• Emily Margaret Plant
• Danielle Plaskonka
• Allyson D Platt, LMHC, LPC
• Cathleen M Platt, APRN

• General Practice Dentistry in Hartford, CT
• Providers in Hartford, 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 24, 2020; 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.