Mitra Marvasti-sitterly
Mitra Marvasti-sitterly is a provider specialising in Pediatric Dentistry in Weatogue, CT, registered under NPI 1154065514. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 381 HOPMEADOW ST STE 202, Weatogue, CT 06089. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 13636 | CT | Pediatric Dentistry primary |
| DN1859415 | MA | General Practice Dentistry |
| 13636 | CT | General Practice Dentistry |
| DN1859415 | MA | Pediatric Dentistry |
| 13758 | CT | Student in an Organized Health Care… |
Licences are recorded in 2 states: CT, MA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Order And Referring Only - Dentist
- PAC ID
- 6204296411
- Enrollment ID
- I20230720000110
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Connecticut and Massachusetts. The practice address on file is in Weatogue, CT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 13636
- Specialty
- Pediatric Dentistry
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Pediatric Dentistry covers
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NUCC Health Care Provider Taxonomy, code 1223P0221X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | 13636 | CT | primary |
| 1223G0001X | General Practice Dentistry General Practice | DN1859415 | MA | |
| 1223G0001X | General Practice Dentistry General Practice | 13636 | CT | |
| 1223P0221X | Pediatric Dentistry Pediatric Dentistry | DN1859415 | MA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 13758 | CT |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1154065514 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 22, 2022 |
| Last updated | Jun 25, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Practice address |
381 HOPMEADOW ST STE 202 Weatogue, CT 06089 (860) 658-7548 |
| Mailing address |
181 PARTRIDGE LNDG Glastonbury, CT 06033 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 5 | 4 | 0 | 6 | 5 | 5 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 1 | 4 | 0 | 6 | 1 | 5 | 2 |
Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.