Organization Active NPI

Braces on Me, P.C.

  • Pediatric Dentistry
  • Milford, CT
National Provider Identifier
1992293443
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8668 Issued in CT
Legal business name
BRACES ON ME, P.C.
Practice address
209 Boston Post Rd Ste 312
Milford, CT 06460-3161
Phone
(203) 876-9965
Fax
(203) 876-9972
NPI assigned
Apr 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Authorized official

Name
Dr. Jesus A Villegas, DDS
Title
Dentist
Phone
(203) 876-9965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 8668 CT Primary

Addresses

Primary practice location

209 Boston Post Rd Ste 312
Milford, CT 06460-3161

Mailing address

209 Boston Post Rd Ste 312
Milford, CT 06460-3161
Phone (203) 876-9965

National Provider Directory

National Provider Directory

Locations

209 Boston Post Rd
Ste 312
Milford, CT 06460
Phone (203) 876-9965

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525046400000",
    "number": "1992293443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BOSTON POST RD STE 312",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603161",
            "telephone_number": "203-876-9965",
            "fax_number": "203-876-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 BOSTON POST RD STE 312",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603161",
            "telephone_number": "203-876-9965",
            "fax_number": "203-876-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACES ON ME, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-876-9965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "8668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.