{"npi":"1194053942","type":"NPI-2","status":"active","name":{"display":"Center For Oral And Implant Surgery Of Greenwich, LLC","other":[],"organization_name":"CENTER FOR ORAL AND IMPLANT SURGERY OF GREENWICH, LLC","authorised_official":"Michele Bergen"},"specialty":{"primary_taxonomy":"261QS0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery Clinic/Center","slug":"oral-and-maxillofacial-surgery-clinic-center","schema_org_specialty":null,"all":[{"code":"261QS0112X","description":"Oral and Maxillofacial Surgery Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"49 LAKE AVE","city":"GREENWICH","state":"CT","postal_code":"068304501","country_code":"US","phone":"2036614231","fax":"2036610155"},{"purpose":"MAILING","street_1":"49 LAKE AVE","city":"GREENWICH","state":"CT","postal_code":"068304501","country_code":"US","phone":"2036614231","fax":"2036610155"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100201000547","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CT","pac_id":"6507909439"}]},"enumeration_date":"2009-12-04","last_updated":"2010-01-19","_meta":{"source":"NPPES","snapshot_date":"2010-01-19","doc_url":"https://findmynpi.com/api"}}