DIAMOND BRACES OF NORWALK CONNECTICUT LLC (NPI# 1710386933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710386933 |
Entity Type | Organization |
Organization Name | DIAMOND BRACES OF NORWALK CONNECTICUT LLC |
Practice Address |
148 East Ave Suite 3h Norwalk CT 06851-5721 |
Practice Telephone | 2038571717 |
Practice Fax Number | 7183736799 |
Mailing Telephone | 2038571717 |
Mailing Fax Number | 7183736799 |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-15 |
Authorized Official Name | DR. OLEG DRUT (OWNER/PRESIDENT) |
Authorized Official Telephone | 2038571717 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
047218-1 | NY | Dental Providers |
Street Address |
148 EAST AVE SUITE 3H |
City | NORWALK |
State | CT |
Zip Code | 06851-5721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992707616 | Richard A Stieglitz | Physical Therapist | 148 East Ave, Norwalk, CT 06851-5721 | 2005-08-12 |
1205201639 | Sheila Norko | Specialist/Technologist, Other | 148 East Ave, Suite 2g, Norwalk, CT 06851-5721 | 2015-12-10 |
1912381625 | Connecticut Orthopaedic Specialists, PC | Orthopaedic Surgery | 148 East Ave, Suite 2e, Norwalk, CT 06851-5721 | 2015-07-13 |
1942680616 | Kaitlyn Foley | Physician Assistant | 148 East Ave, Suite 2-i, Norwalk, CT 06851-5721 | 2015-06-08 |
1619365731 | Ct Recovery PC | Clinic/Center | 148 East Ave, Suite 1 D, Norwalk, CT 06851-5721 | 2014-12-23 |
1184029472 | Ct Recovery, PC | Plastic Surgery | 148 East Ave, Suite 1d, Norwalk, CT 06851-5721 | 2014-10-29 |
1891128575 | Dental Solutions | Dentist | 148 East Ave, 1c, Norwalk, CT 06851-5721 | 2013-08-16 |
1588916415 | Meghan Elizabeth Sadler | Physician Assistant | 148 East Ave, 2l, Norwalk, CT 06851-5721 | 2012-10-02 |
1619244043 | Amy Cimminello | Physician Assistant | 148 East Ave, Suite 1e, Norwalk, CT 06851-5721 | 2011-11-30 |
1093092165 | East Avenue Pediatrics PC | Pediatrics | 148 East Ave, Suite 1l, Norwalk, CT 06851-5721 | 2011-11-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
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Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894831 | Chia-hua Pai | Dentist | 10 Mott Ave Ste 3c, Norwalk, CT 06850-3320 | 2020-09-04 |
1568991636 | Bibko Orthodontics LLC | Dentist | 346 Main Ave Ste D, Norwalk, CT 06851-1591 | 2017-06-12 |
1093267585 | Justin Keith Bass | Dentist | 119 Gregory Blvd, #44, Norwalk, CT 06855 | 2016-10-31 |
1760812580 | Norwalk Orthodontics Associattes | Dentist | 71 East Ave Ste 2q, Norwalk, CT 06851-4903 | 2013-11-14 |
1891136503 | Amy Yonina Harel | Dentist | 4 Summer St Apt A201, Norwalk, CT 06851-4557 | 2013-07-10 |
1639481294 | Aditya Chhibber | Dentist | 137 Benedict Ave, Norwalk, OH 44857-2340 | 2010-07-11 |
1972820678 | Allen Jacobson, Dds, PC | Dentist | 11005 Firestone Blvd Ste 106, Norwalk, CA 90650-2224 | 2010-04-21 |
1437319803 | Allen Jacobson | Dentist | 11005 Firestone Blvd, Norwalk, CA 90650-2224 | 2008-06-10 |
1316321573 | Ct Braces Norwalk Orthodontics PC | Dentist | 346 Main Ave, Suite D, Norwalk, CT 06851-4903 | 2015-07-16 |
1821439084 | Norwalk Orthodontics | Dentist | 10 Mott Ave, Suite 3c, Norwalk, CT 06850-3320 | 2013-07-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.