NPIMap

Organization Active NPI

Spadola & Vincent, DMD, LLC

  • Dentist
  • Cheshire, CT
National Provider Identifier
1972511772
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6052 Issued in CT
Legal business name
SPADOLA & VINCENT, DMD, LLC
Practice address
415 Highland Avenue
Suite 3
Cheshire, CT 06410
Phone
(203) 272-9694
Fax
(203) 272-1927
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Carl J Spadola, DMDNPI 1184769945
Title
Owner Dentist
Phone
(203) 272-9694

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 6052 CT Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9505 CT

Addresses

Primary practice location

415 Highland Avenue
Suite 3
Cheshire, CT 06410

Mailing address

415 Highland Avenue
Suite 3
Cheshire, CT 06410
Phone (203) 272-9694

Other names 1

  • Spadola & Vincent DMD Doing business as

National Provider Directory

National Provider Directory

Locations

415 Highland Ave
Ste 3
Cheshire, CT 06410
Phone (203) 272-9694

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1972511772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HIGHLAND AVENUE",
            "address_2": "SUITE 3",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "06410",
            "telephone_number": "203-272-9694",
            "fax_number": "203-272-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HIGHLAND AVENUE",
            "address_2": "SUITE 3",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "06410",
            "telephone_number": "203-272-9694",
            "fax_number": "203-272-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADOLA & VINCENT, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "SPADOLA",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "203-272-9694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "6052",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "9505",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spadola & Vincent DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.