ELIANE HERMES DUTRA DDS
NPI 1659711620
Dentist - Orthodontics and Dentofacial Orthopedics in Farmington, CT

Active since July 04, 2013PECOS Enrolled
263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-2207(860) 679-1899 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eliane Hermes Dutra Dds NPPES

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

ELIANE HERMES DUTRA DDS (NPI 1659711620) is an individual orthodontics and dentofacial orthopedics provider in Farmington, Connecticut, licensed in Connecticut (11733) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659711620
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameELIANE HERMES DUTRACredential: DDS
Location Address263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing Address100 Trumbull St Apt 301Hartford, CT 06103-2430 · (914) 255-0258
Fax(860) 679-1899
Sole ProprietorNo
Enumeration DateJuly 4, 2013
Last NPPES UpdateOctober 26, 2016
NPI 1659711620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CT · 11733
Definition

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.

263 FARMINGTON AVE, Farmington, CT 06030

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Eliane Hermes Dutra Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Neurological Surgery
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Pathology (Anatomic Pathology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Psychiatry & Neurology (Psychiatry)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine (Gastroenterology)
263 FARMINGTON AVE
FARMINGTON, CT 06030
Dietitian, Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030
Internal Medicine
263 FARMINGTON AVE
FARMINGTON, CT 06030
Nurse Anesthetist, Certified Registered
263 FARMINGTON AVE
FARMINGTON, CT 06030

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 Eliane Dutra's NPI number?

The NPI number for Eliane Dutra is 1659711620. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Where is Eliane Dutra located?

Eliane Dutra practices at 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-2207.

What is Eliane Dutra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Eliane Dutra enrolled in Medicare?

Yes. Eliane Dutra is registered in the Medicare PECOS enrollment system.

What insurance does Eliane Dutra accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Eliane Dutra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eliane Dutra was last updated on October 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.