Organization Active NPI

New Britain Dental Center

  • Public Health Dentistry
  • New Britain, PA
National Provider Identifier
1972818474
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
DS036113 Issued in PA
Legal business name
NEW BRITAIN DENTAL CENTER
Practice address
108 W Butler Ave
New Britain, PA 18901-5108
Phone
(267) 247-5449
Fax
(267) 247-5462
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mr. Oleg Amayev
Title
DDS
Phone
(267) 247-5449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223D0001X DS036113 PA Primary

Addresses

Primary practice location

108 W Butler Ave
New Britain, PA 18901-5108

Mailing address

108A West Butler Ave.
New Britain, PA 18901-5108
Phone (267) 247-5449

Other identifiers 1

IdentifierTypeStateIssuer
1010462950001MedicaidPA

National Provider Directory

National Provider Directory

Locations

108 W Butler Ave
New Britain, PA 18901
Phone (267) 247-5449

108 W Butler Ave
#A
New Britain, PA 18901

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1972818474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108A WEST BUTLER AVE.",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015108",
            "telephone_number": "267-247-5449",
            "fax_number": "267-247-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W BUTLER AVE",
            "city": "NEW BRITAIN",
            "state": "PA",
            "postal_code": "189015108",
            "telephone_number": "267-247-5449",
            "fax_number": "267-247-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRITAIN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "AMAYEV",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "267-247-5449",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "PA",
            "license": "DS036113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010462950001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.