OPTIMUS HEALTHCARE (NPI# 1972907012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972907012 |
| Entity Type | Organization |
| Organization Name | OPTIMUS HEALTHCARE |
| Practice Address |
982 E Main St Dental Department Bridgeport CT 06608-1913 |
| Practice Telephone | 2036963260 |
| Practice Fax Number | 2033348104 |
| Mailing Telephone | 2036963260 |
| Mailing Fax Number | 2033348104 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | DR. KRIS KOTSAY (DENTAL DIRECTOR) |
| Authorized Official Telephone | 2036963260 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
006486 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1669548376 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | OPTIMUS HEALTHCARE AGENCY LLC | 207 Burgundy Hill Lane, Middletown, CT 06457 |
| New York State Corporations | OPTIMUS HEALTHCARE SERVICES, INC. | 1400 Old Country Road, Suite 304, Westbury, Ny 11590 |
| Street Address |
982 E MAIN ST DENTAL DEPARTMENT |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384885 | Vitaly Lein | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2005-11-23 |
| 1356942494 | Marilyn Karen Bartley | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-11-04 |
| 1609475169 | Farihah Janan Ahmed | Dentist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-10-25 |
| 1093347114 | Alix Pose-sussman | Acupuncturist | 982 E Main St, Bridgeport, CT 06608-1913 | 2020-02-06 |
| 1629588678 | Kristin Obrien | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2017-10-04 |
| 1326591223 | Saif Issac | Dentist | 982 E Main St, Bridgeport, CT 08806 | 2016-07-27 |
| 1740651884 | Michael O'malley | Social Worker | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-10-15 |
| 1437525110 | Myriam H Rodriguez | Dental Hygienist | 982 E Main St, Bridgeport, CT 06608-1913 | 2015-08-17 |
| 1447652490 | Charles Engle | Physician Assistant | 982 E Main St, Bridgeport, CT 06608-1913 | 2014-09-22 |
| 1801205463 | Carly Gene Staab | Nurse Practitioner | 982 E Main St, Bridgeport, CT 06608-1913 | 2014-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193591 | Full Circle Youth Empowerment | Community/Behavioral Health | 583-585 East Main Street, Bridgeport, CT 06608 | 2018-11-14 |
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1568795094 | Kelly M Bucci-didomenico | Nurse Practitioner | 479 Helen St, Bridgeport, CT 06608-1321 | 2009-09-16 |
| Find all providers in zip 06608 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174046122 | Rominger Dental | Clinic/Center | 20 Shaner Dr Ste 108, Bridgeport, WV 26330-2506 | 2017-07-21 |
| 1376941013 | K&h Dental Pa | Clinic/Center | 1808 Chico Highway, Bridgeport, TX 76426 | 2014-12-11 |
| 1205253176 | Family Health Centers | Clinic/Center | 1015 Columbia, Bridgeport, WA 98813 | 2014-03-27 |
| 1821503210 | Mgm Family Dental | Clinic/Center | 2690 E Main St, Bridgeport, CT 06610-1422 | 2017-12-06 |
| 1295126209 | All Kids Dental LLC | Clinic/Center | 2566 Main St, Bridgeport, CT 06606-5302 | 2015-02-12 |
| 1528269131 | Southwest Community Health Center | Clinic/Center | 46 Albion St, Bridgeport, CT 06605-2602 | 2007-05-30 |
| 1952426330 | City of Bridgeport Department of Health | Clinic/Center | 752 E Main St, Bridgeport, CT 06608-2335 | 2007-03-21 |
| 1457493728 | University of Bridgeport | Clinic/Center | 60 Lafayette St, Bridgeport, CT 06604-7719 | 2007-02-13 |
| 1669548376 | Optimus Health Care | Clinic/Center | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674728 | North Main Dental Group LLC | Clinic/Center | 225 N Main St Ste 210, Bristol, CT 06010-4993 | 2020-09-22 |
| 1790397776 | Best Way Dental Services, LLC | Clinic/Center | 886 Main St Ste B, Willimantic, CT 06226-2340 | 2020-08-20 |
| 1194357418 | Bolton Lake Dental LLC | Clinic/Center | 1120 Boston Tpke, Bolton, CT 06043-7439 | 2020-02-05 |
| 1124669924 | Dental Essentials of Rocky Hill | Clinic/Center | 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 | 2019-10-02 |
| 1730736216 | Pearl Dental of Trumbull, Pllc | Clinic/Center | 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 | 2019-08-20 |
| 1134774953 | Ezra Friedman Dds | Clinic/Center | 464 Wolcott Rd Ste 2, Wolcott, CT 06716-2626 | 2019-08-08 |
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1730644212 | Resolute Cross Road LLC | Clinic/Center | 112 Cross Rd, Waterford, CT 06385-1204 | 2019-02-08 |
| 1861966954 | James S Bauer Dmd Incorporated | Clinic/Center | 40 Main St N Ste E, Woodbury, CT 06798-2966 | 2019-01-11 |
| 1821568650 | Parkway Dental Np LLC | Clinic/Center | 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 | 2018-12-05 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
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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.