DR. SHYAM DESAI (NPI# 1922271550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922271550 |
| Entity Type | Individual |
| Full Name | DR. SHYAM DESAI |
| Credential | D.M.D |
| Practice Address |
3741 Main St Bridgeport CT 06606-3609 |
| Practice Telephone | 2033741911 |
| Mailing Telephone | 2033741911 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2010-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
009802 | CT | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS037425 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415973 | Shyam Ambrish Desai | Anesthesiology | 600 S Paulina St Ste 403, Chicago, IL 60612-3806 | 2020-04-08 |
| 1427685015 | Shyam Desai | Student in an Organized Health Care Education/Training Program | 3959 Broadway, New York, NY 10032-1559 | 2020-03-24 |
| Street Address |
3741 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878796 | Harkirat Singh Sran | Dentist | 3741 Main St, Bridgeport, CT 06606-3609 | 2020-07-14 |
| 1902298649 | Myung-hyun Bae | Dentist | 3741 Main St, Bridgeport, CT 06606-3609 | 2015-03-03 |
| 1356756423 | Long Ridge Dental LLC | Dentist | 3741 Main St, Bridgeport, CT 06606-3609 | 2014-06-26 |
| 1467754309 | Ct Braces, LLC | Dentist | 3741 Main St, Bridgeport, CT 06606 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1750696399 | Connecticut Family Dental, Inc | Dentist | 3885 Main St, Suite 101, Bridgeport, CT 06606-2814 | 2010-08-06 |
| 1356560346 | Drs. Lacy & Weidman, Pllc | Dentist | 112 Hill St, Bridgeport, WV 26330-1756 | 2007-04-25 |
| 1184605974 | Michael B Montanaro | Dentist | 5294 Park Ave, Bridgeport, CT 06604-1018 | 2005-11-08 |
| 1316571425 | Myorthos Connecticut Orthodontics PC | Dentist | 3909 Main St, Bridgeport, CT 06606-2872 | 2020-02-27 |
| 1184258386 | Myorthos Holdings, LLC | Dentist | 3909 Main St, Bridgeport, CT 06606-2872 | 2020-02-26 |
| 1700378916 | Arthur Kim | Dentist | 2690 E Main St, Bridgeport, CT 06610-1422 | 2018-06-04 |
| 1881048080 | Bridgeport Braces, LLC | Dentist | 3715 Main St, Suite 100, Bridgeport, CT 06606-3618 | 2016-04-14 |
| 1588048748 | Ct Braces Bridgeport Orthodontics PC | Dentist | 3909 Main St, Suite A, Bridgeport, CT 06606-2872 | 2015-07-16 |
| 1467886614 | Ismile Orthodonticsof LLC | Dentist | 2417 E Main St, Bridgeport, CT 06610-1802 | 2013-08-23 |
| 1679849186 | Andrew Thompson | Dentist | 930 W Main St, Bridgeport, WV 26330-1673 | 2012-03-29 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.