NORTH END DENTAL ASSOCIATES, PC
NPI 1053705061
Dentist - General Practice in Bridgeport, CT

NPI Status: Active since March 27, 2015

Contact Information

4699 MAIN ST
SUITE 100
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 372-4296
Fax: (203) 372-4734

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  • Organization
  • Dentist
  • General Practice

About NORTH END DENTAL ASSOCIATES, PC

This page provides the complete NPI Profile along with additional information for North End Dental Associates, Pc, a provider established in Bridgeport, Connecticut operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1053705061 assigned on March 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 10125 (CT). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Amutha Raguram Dds (Dentist)

NPI
1053705061
Provider Name
NORTH END DENTAL ASSOCIATES, PC
Entity Type
Organization
Location Address
4699 MAIN ST SUITE 100 BRIDGEPORT, CT 06606
Location Phone
(203) 372-4296
Location Fax
(203) 372-4734
Mailing Address
4699 MAIN ST SUITE 100 BRIDGEPORT, CT 06606
Mailing Phone
(203) 372-4296
Mailing Fax
(203) 372-4734
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2015
Last Update Date
03-27-2015
Code Navigator

A dentist like North End Dental Associates, Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
10125
License State
CT
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AMUTHA RAGURAM DDS

Authorized Official Title
DENTIST
Authorized Official Phone
(650) 576-8237

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053705061
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2010314010012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 4 + 0 + 1 + 0 + 0 + 1 + 2 + 24 = 39
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 39 = 11

The NPI number 1053705061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1952395568DR. JEFFREY N KAPLAN I MD
Individual
Ophthalmology4699 MAIN ST
BRIDGEPORT, CT 06606
(203) 374-8182
1437133154DR. ANTHONY V MASI MD
Individual
Ophthalmology4699 MAIN ST SUITE 106
BRIDGEPORT, CT 06606
(203) 374-8182
1568425171DR. JEFFREY R SANDLER M.D.
Individual
Ophthalmology4699 MAIN ST SUITE 106
BRIDGEPORT, CT 06606
(303) 374-8182
1194771758 HOLLY R BASHURA APRN
Individual
Nurse Practitioner (Family)4699 MAIN ST SUITE 105
BRIDGEPORT, CT 06606
(203) 374-6162
1770512402DR. JENNIFER MEHEH JU M.D.
Individual
Family Medicine4699 MAIN ST SUITE 201
BRIDGEPORT, CT 06606
(203) 372-9002
1629087309DR. RANDALL HUNT NEICHIN DMD
Individual
Dentist (Periodontics)4699 MAIN ST SUITE 206
BRIDGEPORT, CT 06606
(203) 372-3575
1992718753DR. ROBERT D CHESSIN M.D.
Individual
Pediatrics4699 MAIN ST SUITE 215
BRIDGEPORT, CT 06606
(203) 452-8322
1174630651DR. KAROL JOSEPH CHACHO MD
Individual
Obstetrics & Gynecology (Reproductive Endocrinology)4699 MAIN ST SUITE 210
BRIDGEPORT, CT 06606
(203) 372-5282
1720195209DR. MARTHA Y SMALL M.D.
Individual
Pediatrics4699 MAIN ST SUITE 215
BRIDGEPORT, CT 06606
(203) 452-8322
1548378813 JOSEPH RAYMOND PESCE MD
Individual
Dermatology4699 MAIN ST SUITE 212
BRIDGEPORT, CT 06606
(203) 372-8949
1962575522DR. WAYNE A. MICHALKA DMD
Individual
Dentist (General Practice)4699 MAIN ST SUITE 200
BRIDGEPORT, CT 06606
(203) 372-3726
1669669073FAMILY HEALTH AND WELLNESS CENTER OF BRIDGEPORT, LLC
Organization
Clinic/Center (Primary Care)4699 MAIN ST SUITE 201
BRIDGEPORT, CT 06606
(203) 372-9002
1609056944 AMANDA R COPPOLA APRN
Individual
Nurse Practitioner (Family)4699 MAIN ST
BRIDGEPORT, CT 06606
(203) 452-8322
1306028030 DONALD JOSEPH ANNICELLE DDS
Individual
Dentist (General Practice)4699 MAIN ST SUITE 200
BRIDGEPORT, CT 06606
(203) 372-3726
1629217914DR. ALICJA DEWERA-MOCZERNIUK M.D.
Individual
Pediatrics4699 MAIN ST
BRIDGEPORT, CT 06606
(203) 452-8322
1083847172CONNECTICUT DENTAL GRUOP, LLC
Organization
Dentist4699 MAIN ST SUITE 203
BRIDGEPORT, CT 06606
(203) 372-4200
1487928933REUVEN RUDICH MD PC
Organization
Ophthalmology4699 MAIN ST SUITE 202
BRIDGEPORT, CT 06606
(203) 374-6400
1215271713PRIMED, LLC
Organization
Podiatrist4699 MAIN ST SUITE 211
BRIDGEPORT, CT 06606
(203) 374-3464
1023055530PRIMED LLC
Organization
Internal Medicine4699 MAIN ST SUITE 105 ATTN: MED3000
BRIDGEPORT, CT 06606
(203) 944-1940
1194738963DR. RICHARD M FREEDMAN M.D.
Individual
Pediatrics4699 MAIN ST SUITE 215
BRIDGEPORT, CT 06606
(203) 452-8322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053705061, enumerated in the NPI registry as an "organization" on March 27, 2015

The provider is located at 4699 Main St Suite 100 Bridgeport, Ct 06606 and the phone number is (203) 372-4296

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on March 27, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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