PATRICIA I DIAZ-MORENO (NPI# 1851614002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851614002 |
| Entity Type | Individual |
| Full Name | PATRICIA I DIAZ-MORENO |
| Credential | DDS |
| Practice Address |
263 Farmington Ave # Mc2820 Farmington CT 06030-2820 |
| Practice Telephone | 8606793170 |
| Practice Fax Number | 8606798162 |
| Mailing Telephone | 8606793170 |
| Mailing Fax Number | 8606798162 |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10005 | CT | Dental Providers |
| Street Address |
263 FARMINGTON AVE # MC2820 |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427113976 | Frank C. Nichols | Dentist | 263 Farmington Ave # Mc-3905, Uconn School of Dental Medicine, Farmington, CT 06030-0001 | 2006-12-26 |
| 1760863591 | Katherine Calvert Grosso | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2015-06-17 |
| 1760880355 | Namita Khandelwal | Dentist | 263 Farmington Ave, Farmington, CT 06030-2656 | 2014-12-12 |
| 1871830745 | A. Michael Brown | Dentist | 263 Farmington Ave, Farmington, CT 06030-0001 | 2013-01-11 |
| 1427367820 | Jesse Michael Sorrentino | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2010-10-02 |
| 1295995371 | Takanori Sobue | Dentist | 263 Farmington Ave, Farmington, CT 06030-1710 | 2008-06-12 |
| 1366646432 | Khalid Almas | Dentist | 263 Farmington Ave, University Dentists, Farmington, CT 06030-2820 | 2007-06-13 |
| 1790999761 | Anna Dongari-bagtzoglou | Dentist | 263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820 | 2007-05-09 |
| 1215149596 | John A Bierly Dmd and Peter J Peterson Dmd, PC | Dentist | 291 Farmington Ave, Farmington, CT 06032-1925 | 2007-05-07 |
| 1962614636 | Efthimia Ioannidou | Dentist | 263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820 | 2007-05-04 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on PATRICIA I DIAZ-MORENO.
| 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.