NPIMap

Organization Active NPI

Daniel W. Tracy, III D.M.D., P.C.

  • General Practice Dentistry
  • Norwich, CT
National Provider Identifier
1023100401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7736 Issued in CT
Legal business name
DANIEL W. TRACY, III D.M.D., P.C.
Practice address
100 Fanning Ave
Norwich, CT 06360-2943
Phone
(860) 892-4996
NPI assigned
Sep 29, 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
Dr. Daniel Wolcott Tracy III, DMDNPI 1780659292
Title
President
Phone
(860) 892-4996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7736 CT Primary

Addresses

Primary practice location

100 Fanning Ave
Norwich, CT 06360-2943

Mailing address

100 Fanning Ave
Norwich, CT 06360-2943
Phone (860) 892-4996

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023100401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FANNING AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602943",
            "telephone_number": "860-892-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FANNING AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602943",
            "telephone_number": "860-892-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL W. TRACY, III D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WOLCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-892-4996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "7736",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 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.