Active NPI
Walter S Mozden Lo
- Durable Medical Equipment & Medical Supplies
- Norwich, CT
National Provider Identifier
1013195577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 001299
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000818CT02 | Other | CT | LUMENOS |
| 19796 | Other | CT | SPECTERA |
| 0187430001 | Other | CT | MEDICARE |
| 100000818CT02 | Other | CT | BC/BS |
National Provider Directory
National Provider DirectoryLocations
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.