Organization Active NPI

Walter S Mozden Lo

  • Durable Medical Equipment & Medical Supplies
  • Norwich, CT
National Provider Identifier
1013195577
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
001299 Issued in CT
Legal business name
WALTER S MOZDEN LO
Practice address
7 Clinic Dr
Norwich, CT 06360-2915
Phone
(860) 889-9887
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Walter S Mozden
Title
Owner
Phone
(860) 889-9887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 001299 CT Primary

Addresses

Primary practice location

7 Clinic Dr
Norwich, CT 06360-2915

Mailing address

7 Clinic Dr
Norwich, CT 06360-2915
Phone (860) 889-9887

Other identifiers 4

IdentifierTypeStateIssuer
100000818CT02OtherCTLUMENOS
19796OtherCTSPECTERA
0187430001OtherCTMEDICARE
100000818CT02OtherCTBC/BS

National Provider Directory

National Provider Directory

Locations

7 Clinic Dr
Norwich, CT 06360
Phone (860) 887-6408

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1013195577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CLINIC DR",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602915",
            "telephone_number": "860-889-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 CLINIC DR",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602915",
            "telephone_number": "860-889-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER S MOZDEN LO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "MOZDEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-889-9887",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "001299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LUMENOS",
            "identifier": "100000818CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "19796",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0187430001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "100000818CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.