OPTIMUS HEALTHCARE NPI 1972907012

NPI Information

NPI: 1972907012
Provider Name: OPTIMUS HEALTHCARE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
982 E MAIN ST
DENTAL DEPARTMENT
BRIDGEPORT, CT
ZIP 06608
Phone: (203) 696-3260
Get Directions

OPTIMUS HEALTHCARE is a dental clinic center in Bridgeport, CT. OPTIMUS HEALTHCARE NPI is 1972907012. The provider is registered as an organization entity type.

The provider's business location address is:

982 E MAIN ST
DENTAL DEPARTMENT
BRIDGEPORT, CT
ZIP 06608-913
Phone: (203) 696-3260
Fax: (203) 334-8104

The provider's authorized official is Kris Kotsay .
The authorized official title is Dental Director and has the following contact phone number (203) 696-3260.

The enumeration date for this NPI number is 10/17/2014 and was last updated on 10/17/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	006486	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1669548376	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »