NPIMap

Organization Active NPI

Richard a. Brogadir, D.M.D. P.C.

  • General Practice Dentistry
  • Ansonia, CT
National Provider Identifier
1962625749
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARD A. BROGADIR, D.M.D. P.C.
Practice address
258 Wakelee Ave
Ansonia, CT 06401-1244
Phone
(203) 736-2961
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Dr. Richard Alan Brogadir, D.M.D.NPI 1205982527
Title
President
Phone
(203) 736-2961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

258 Wakelee Ave
Ansonia, CT 06401-1244

Mailing address

258 Wakelee Ave
Ansonia, CT 06401-1244
Phone (203) 736-2961

National Provider Directory

National Provider Directory

Locations

258 Wakelee Ave
Ansonia, CT 06401
Phone (203) 736-2961

Practitioners & affiliated clinicians

Practitioners 1

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1962625749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011244",
            "telephone_number": "203-736-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 WAKELEE AVE",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064011244",
            "telephone_number": "203-736-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD A. BROGADIR, D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "BROGADIR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-736-2961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ansonia, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.