NPIMap

Individual provider Active NPI

Krishna Desai

  • Student in an Organized Health Care Education/Training Program
  • Rocky Hill, CT
National Provider Identifier
1972034536
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
2139 Silas Deane Hwy
Rocky Hill, CT 06067
Phone
(860) 529-0624
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12345 CT
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

2139 Silas Deane Hwy
Rocky Hill, CT 06067

Mailing address

Barnett&Shoflick Family Dentistry 2139 Silas Deane Hwy
Rocky Hill, CT 06067

Other practice location 1

5192 Via Dolores
Newbury Park, CA 91320-6915
Phone (805) 405-9527

Other practice location 2

5192 Via Dolores
Newbury Park, CA 91320-6915
Phone (805) 405-9527

Other practice location 3

323 Lincoln Blvd
Venice, CA 90291-2842
Phone (310) 392-4103

Other practice location 4

2139 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 529-0624

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

LicenseStateTypeSpecialty
12345CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
UCLA Venice Dental Center Past Accepting new patients
UCLA Venice Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1972034536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BARNETT&SHOFLICK FAMILY DENTISTRY 2139 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "860-529-0624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5192 Via Dolores",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913206915",
            "country_code": "US",
            "telephone_number": "805-405-9527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5192 Via Dolores",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913206915",
            "country_code": "US",
            "telephone_number": "805-405-9527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "CA",
            "postal_code": "902912842",
            "country_code": "US",
            "telephone_number": "310-392-4103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2139 Silas Deane Hwy",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "06067",
            "country_code": "US",
            "telephone_number": "860-529-0624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "KRISHNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "12345",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.