Organization Active NPI

Newington Dentistry and Braces Inc

  • Dentist
  • Newington, CT
National Provider Identifier
1982179990
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEWINGTON DENTISTRY AND BRACES INC
Practice address
2985 Berlin Tpke Unit 7a
Newington, CT 06111-4601
Phone
(860) 748-4888
Fax
(860) 748-4887
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Joanne Tavano
Title
Cfo
Phone
(978) 580-1524

Specialties & licenses 1

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

Addresses

Primary practice location

2985 Berlin Tpke Unit 7a
Newington, CT 06111-4601

Mailing address

5 Mount Royal Ave Ste 300
Marlborough, MA 01752-1900
Phone (508) 460-0632

National Provider Directory

National Provider Directory

Locations

2985 Berlin Tpke
Unit 7A
Newington, CT 06111
Phone (860) 748-4888

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1982179990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MOUNT ROYAL AVE STE 300",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521900",
            "telephone_number": "508-460-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2985 BERLIN TPKE UNIT 7A",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061114601",
            "telephone_number": "860-748-4888",
            "fax_number": "860-748-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWINGTON DENTISTRY AND BRACES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "TAVANO",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "978-580-1524"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; 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.