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JUAN MITCHELL JR. DMD
NPI 1275330854
Student in an Organized Health Care Education/Training Program in Hartford, CT

Active since February 28, 2025PECOS Enrolled
1000 ASYLUM AVE STE 3200, HARTFORD, CT 06105(860) 714-5782 Get Directions Write a Review

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Juan Mitchell Jr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN MITCHELL JR. DMD (NPI 1275330854) is an individual student in an organized health care education/training program in Hartford, Connecticut and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275330854
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUAN MITCHELL JR.Credential: DMD
Location Address1000 ASYLUM AVE STE 3200Hartford, CT 06105-1702
Mailing Address2100 Stanley StNew Britain, CT 06053-1555
Phone(860) 714-5782
Sole ProprietorNo
Enumeration DateFebruary 28, 2025
Last NPPES UpdateMarch 1, 2025
NPPES CertifiedMarch 1, 2025
✔ NPI 1275330854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 ASYLUM AVE STE 3200, Hartford, CT 06105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Mitchell Jr. Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTIME VINCA
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4995
AMANDA R NUNEZ DMD
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-5782
DR. NIZIDA VALIUSKA ACHARTE DMD
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-5782
SARAH A HERBSMAN
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4995
DR. YOONA LEE DDS
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-4529
ABUBAKR SHAFI DDS
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-5782
DR. SAMANTHA KOZAKOWSKI DMD
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-5782
SUNIL K REDDY DMD
Student in an Organized Health Care Education/Training Program
1000 ASYLUM AVE STE 3200
HARTFORD, CT 06105
Capitol Planning Region (860) 714-5782

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Mitchell's NPI number?

The NPI number for Juan Mitchell is 1275330854. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Where is Juan Mitchell located?

Juan Mitchell practices at 1000 Asylum Ave Ste 3200, Hartford, CT 06105. The listed phone number is (860) 714-5782.

What is Juan Mitchell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Juan Mitchell enrolled in Medicare?

Yes. Juan Mitchell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Mitchell was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.