HEBRON FAMILY DENTIST PLLC
NPI 1659250058
Dentist - General Practice in Hebron, CT
About Hebron Family Dentist Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEBRON FAMILY DENTIST PLLC (NPI 1659250058) is a healthcare organization registered as a general practice in Hebron, Connecticut and active in the NPI registry since August 2025. The organization lists Nahal Bakhtiari, Dentist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hebron Family Dentist Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hebron Family Dentist PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Hebron Family Dentist PLLC's NPI number?
The NPI number for Hebron Family Dentist PLLC is 1659250058. It was assigned to this organization in the NPPES registry on August 29, 2025.
Where is Hebron Family Dentist PLLC located?
Hebron Family Dentist PLLC is located at 107 Main St, Hebron, CT 06248. The listed phone number is (203) 685-8193.
What is Hebron Family Dentist PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Hebron Family Dentist PLLC enrolled in Medicare?
Yes. Hebron Family Dentist PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hebron Family Dentist PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Hebron Family Dentist PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hebron Family Dentist PLLC was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Hebron Family Dentist Pllc · NPI 1659250058
General Practice organization in Hebron, Connecticut. Organization record, active in the CMS NPPES registry since August 29, 2025.
## Identity
- **NPI:** 1659250058 (Entity type: Organization)
- **Enumerated:** August 29, 2025
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Organization subpart:** No
- **Authorized official:** Nahal Bakhtiari, DENTIST
## Practice location
- **Address:** 107 MAIN ST, Hebron, CT 06248-1519
- **Phone:** (203) 685-8193
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659250058) · Data from the CMS NPPES public registry.