Active NPI
Chitrakala Jagadeesan, DDS
- General Practice Dentistry
- Hartford, CT
National Provider Identifier
1962684415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9638
- Practice address
- 778 Broad St
Hartford, CT 06106-4619 - Phone
- (860) 525-7459
- NPI assigned
- Nov 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9638 | CT | Primary |
Addresses
Primary practice location
778 Broad St
Hartford, CT 06106-4619
Mailing address
3 Woodland TRL
Ellington, CT 06029-3889
Phone (860) 977-5027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9638 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Family Dentist LLC | Past | Accepting new patients | |
| Dr Ronald Preis | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Hartford, CT
- NPI 1427477884
-
- Public Health Dentistry
- Hartford, CT
- NPI 1902683071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1962684415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WOODLAND TRL",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060293889",
"telephone_number": "860-977-5027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 BROAD ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061064619",
"telephone_number": "860-525-7459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGADEESAN",
"first_name": "CHITRAKALA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-27",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "9638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.