Organization Active NPI

City of Hartford

  • Dental Clinic/Center
  • Hartford, CT
National Provider Identifier
1972665784
Registry record updated Apr 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Apr 7, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004039152MedicaidCT
004011094MedicaidCT

Other names 1

  • HARTFORD PUBLIC SCHOOLS Other name

National Provider Directory

National Provider Directory
Tax ID family
City of Hartford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.