NPIMap

Organization Active NPI

Shelton Dental Group LLC

  • Dentist
  • Shelton, CT
National Provider Identifier
1972014744
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11046 Issued in CT
Legal business name
SHELTON DENTAL GROUP LLC
Practice address
169 Center St
Shelton, CT 06484-3241
Phone
(203) 925-9425
Fax
(203) 922-9322
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Mr. Yadverinder Singh, DMD
Title
Member of LLC
Phone
(860) 595-8388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 11046 CT Primary

Addresses

Primary practice location

169 Center St
Shelton, CT 06484-3241

Mailing address

169 Center St
Shelton, CT 06484-3241
Phone (203) 925-9425

Other names 1

  • Shelton Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

169 Center St
Shelton, CT 06484
Phone (203) 925-9425

Practitioners & affiliated clinicians

Practitioners 2

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1972014744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 CENTER ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843241",
            "telephone_number": "203-925-9425",
            "fax_number": "203-922-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 CENTER ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064843241",
            "telephone_number": "203-925-9425",
            "fax_number": "203-922-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTON DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "YADVERINDER",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "860-595-8388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "11046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelton Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.