Organization Active NPI

Hartford Dispensary

  • Dental Clinic/Center
  • Hartford, CT
National Provider Identifier
1992992119
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0435 Issued in CT
Legal business name
HARTFORD DISPENSARY
Practice address
12 - 14 Weston St
Hartford, CT 06120-1504
Phone
(860) 293-3101
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mr. Paul McLaughlin
Title
Executive Director
Phone
(860) 525-2181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0435 CT Primary

Addresses

Primary practice location

12 - 14 Weston St
Hartford, CT 06120-1504

Mailing address

345 Main St
Hartford, CT 06106-1824
Phone (860) 525-2181

National Provider Directory

National Provider Directory
Tax ID family
Hartford Dispesary6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

12 Weston St
Hartford, CT 06120
Phone (860) 293-3101

345 Main St
Hartford, CT 06106
Phone (860) 293-3101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1992992119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061824",
            "telephone_number": "860-525-2181",
            "fax_number": "860-525-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 - 14 WESTON ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201504",
            "telephone_number": "860-293-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "MCLAUGHLIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-525-2181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CT",
            "license": "0435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 2, 2007; 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.