Active NPI
City of Hartford
- Dental Clinic/Center
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- CITY OF HARTFORD
- Practice address
- 960 Main St Unit 8
Hartford, CT 06103-1225 - Phone
- (860) 695-8852
- Fax
- (860) 722-8630
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debbie Chameides
- Title
- Coordinator of Health Services
- Phone
- (860) 695-8780
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | CT | ||
| Dental Clinic/Center | 261QD0000X | CT | Primary |
Addresses
Primary practice location
960 Main St Unit 8
Hartford, CT 06103-1225
Mailing address
960 Main St FL 9
Hartford, CT 06103-1218
Phone (860) 695-8852
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004039152 | Medicaid | CT | |
| 004011094 | Medicaid | CT |
Other names 1
- HARTFORD PUBLIC SCHOOLS
National Provider Directory
National Provider Directory- Tax ID family
- City of Hartford
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Hartford, CT
- NPI 1073678892
Locations
400 Wethersfield Ave
Hartford, CT 06114
Phone (860) 695-3099
960 Main St
Fl 8
Hartford, CT 06103
Phone (860) 695-4005
440 Broadview Ter
Hartford, CT 06106
960 Main St
Fl 9
Hartford, CT 06103
Phone (860) 882-8714
195 Putnam St
Hartford, CT 06106
290 Brookfield St
Hartford, CT 06106
1304 Main St
Hartford, CT 06103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Hartford, CT
- NPI 1770777104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396828800000",
"number": "1972665784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MAIN ST FL 9",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061031218",
"telephone_number": "860-695-8852",
"fax_number": "860-722-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 MAIN ST UNIT 8",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061031225",
"telephone_number": "860-695-8852",
"fax_number": "860-722-8630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF HARTFORD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2014-04-07",
"status": "A",
"authorized_official_last_name": "CHAMEIDES",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "COORDINATOR OF HEALTH SERVICES",
"authorized_official_telephone_number": "860-695-8780"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004039152",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004011094",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HARTFORD PUBLIC SCHOOLS",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.