NPIMap

Organization Active NPI

Torrington Dental Care PC

  • Dentist
  • Torrington, CT
National Provider Identifier
1003984824
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4411 Issued in CT
Legal business name
TORRINGTON DENTAL CARE PC
Practice address
333 Kennedy Dr
Suite L105
Torrington, CT 06790-3060
Phone
(860) 489-8940
Fax
(860) 489-4346
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank L Kuzmin, DMD
Title
VP & Sec
Phone
(860) 489-8940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 4411 CT Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8102 CT

Addresses

Primary practice location

333 Kennedy Dr
Suite L105
Torrington, CT 06790-3060

Mailing address

333 Kennedy Dr
Suite L105
Torrington, CT 06790-3060
Phone (860) 489-8940

Other identifiers 3

IdentifierTypeStateIssuer
020008102CT02OtherCTANTHEM BCBS OF CT
1650034OtherUNITED CONCORDIA
020004411CT01OtherCTANTHEM BCBS OF CT

Other names 1

  • Garbus Davison & Sherman PC Former legal business name

National Provider Directory

National Provider Directory

Locations

333 Kennedy Dr
Ste L105
Torrington, CT 06790
Phone (860) 489-8940

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003984824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR",
            "address_2": "SUITE L105",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903060",
            "telephone_number": "860-489-8940",
            "fax_number": "860-489-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KENNEDY DR",
            "address_2": "SUITE L105",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903060",
            "telephone_number": "860-489-8940",
            "fax_number": "860-489-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORRINGTON DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUZMIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP & SEC",
        "authorized_official_telephone_number": "860-489-8940",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "4411",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "8102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT",
            "identifier": "020008102CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1650034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF CT",
            "identifier": "020004411CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garbus Davison & Sherman PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.