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DR. DAVID MARK PRIMO D.D.S.
NPI 1669514477
Dentist - General Practice in Niantic, CT

Active since February 12, 2007PECOS Enrolled
170 FLANDERS RD, NIANTIC, CT 06357(860) 739-9862(860) 739-6558 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Mark Primo D.d.s. NPPES

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

DR. DAVID MARK PRIMO D.D.S. (NPI 1669514477) is an individual general practice provider in Niantic, Connecticut, licensed in Connecticut (4499) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669514477
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID MARK PRIMOCredential: D.D.S.
Location Address170 FLANDERS RDNiantic, CT 06357-1208
Mailing Address170 Flanders RdNiantic, CT 06357-1208 · (860) 739-9862 · Fax (860) 739-6558
Phone(860) 739-9862
Fax(860) 739-6558
Sole ProprietorYes
Enumeration DateFebruary 12, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1669514477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 4499
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
170 FLANDERS RD, Niantic, CT 06357
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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)

Dr. David Mark Primo D.d.s. 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 06357 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 2

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

SAJDA PERWEEN MALIK MD
Pediatrics
170 FLANDERS RD
NIANTIC, CT 06357
Southeastern Connecticut Planning Region (860) 739-7444
EAST LYME PEDIATRIC CLINIC, LLC
Clinic/Center (Primary Care)
170 FLANDERS RD
NIANTIC, CT 06357
Southeastern Connecticut Planning Region (860) 739-7444

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 David Primo's NPI number?

The NPI number for David Primo is 1669514477. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is David Primo located?

David Primo practices at 170 Flanders Rd, Niantic, CT 06357. The listed phone number is (860) 739-9862.

What is David Primo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is David Primo enrolled in Medicare?

Yes. David Primo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Primo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.